We are an Equal Opportunity Employer, dedicated to a policy of nondiscrimination in employment on any basis including race, color, religion, age (40 and over), sex, sexual orientation, gender identity, national origin, ancestry, disability, Veteran status, military status, genetic information or any other legally protected characteristic. Applicants may request any needed accommodation to participate in the application process.
NOTE: Federal law requires that you provide, and that the employer examine, documents which verify your identity and your eligibility for employment in the United States. As a condition of employment, you are required to provide such documentation as mandated by law or government regulation and to sign a form attesting that you are lawfully able to work in the United States.
Conviction of a crime will not necessarily be a bar to employment.
List the last four employers starting with the most recent.
List the names of three persons not related to you, whom you have worked with in the past.
List the names of three persons not related to you, whom you have known at least one year.
I hereby certify that the information given by me is true in all respects. I authorize the Company and its representatives to contact my prior employers and all others (with the exception of any employers I have indicated on the application not to contact) for the purpose of verification of the information. I authorize employers, schools and other persons named on this application to provide any information requested.
I understand that after I receive a conditional offer of employment, I will be subject to a criminal background check. I also understand that depending on the position applied for, I may be subject to a credit history check to assess my suitability for employment. I understand that if a consumer reporting agency is engaged to conduct a background check, a separate disclosure and consent form will be provided to me prior to any background check being performed. I understand that my employment with the Company is also contingent upon my providing sufficient documentation necessary to establish my identity and eligibility to work in the United States. I hereby certify that if employed, I will report to my supervisor, a representative of HR, or other member of management, if I am ever harassed by someone in the Company. I expressly understand and agree that if employed, my employment is at-will and either party may terminate the employment relationship at any time, with or without cause and with or without notice. I understand that no representation, whether oral or written, by any representative or agent of the Company, at any time, can constitute an implied or expressed contract of employment. I further understand that no representative or agent of the Company has the authority to enter into an agreement for employment for any specified period of time unless the document is in the form of a formal written employment agreement signed by the President. I certify that all of the above information is true and complete, and I understand that any falsification or omission of information may disqualify me from further consideration for employment or, if hired, may result in termination regardless of the time elapsed before discovery.
Horst Group, Inc. • 320 Granite Run Drive, Lancaster PA 17601 • Main Phone: 717-581-9800 • HR Fax: 717-431-2679 • HorstGroup.com
Δ
