Application For Employment - Clackamas County Vector Control District Page 5

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PLEASE
READ
THE
FOLLOWING
STATEMENTS
CAREFULLY
BEFORE
SIGNING
THIS
APPLICATION.
ONLY THOSE APPLICATIONS THAT ARE FULLY COMPLETED, SIGNED AND
DATED ARE CONSIDERED VALID.
IF YOU HAVE ANY QUESTIONS REGARDING THESE
STATEMENTS, PLEASE ASK THEM BEFORE SIGNING.
1. All answers and statements I have made on this application (and resume or other supplementary materials) are
true and complete without omissions. I understand that any false, misleading, or incomplete information will be
grounds for refusal to hire or for immediate discharge if I am employed. I authorize the District to obtain
information about me from any of the prior employers or persons named in this application, including those
provided by me as references. I also agree to sign an authorization releasing these prior employers and persons
of liability for providing such information.
Please initial: ________
2. I understand that if I am offered employment, I will be required to pass a criminal history check and may also
be required to pass a driver’s record check, credit check, pre-employment drug screen, and/or physical as a
condition of being hired, depending on the position for which I am applying and consistent with applicable
laws.
Please initial: ________
3. I understand that if I am hired I will be responsible for complying with all policies and rules of the District as
they presently exist or are later modified. I also understand that except as otherwise provided in an applicable
collective bargaining agreement, civil service rules, or other written employment agreement signed by the
District Manager, my employment with the District will be terminable at-will for any reason and at any time
without notice, at the option of the District or myself, except as prohibited by applicable law.
Please initial: ________
4. I also understand that nothing in this application, the interview, or hiring process or in an offer of employment
creates a contract for employment or continued employment with the District, and that no representative of the
District has any authority to change my at-will employment status or to otherwise enter into any employment
agreement for any specified period of time, or to assure me of any future position, benefits, or terms and
conditions of employment, except as specifically stated in a written agreement signed and dated by the District
Manager.
Please initial: ________
I have read, understand and agree with all of the above statements.
By: __________________________________________________
____________________________
Signature of Applicant
Date
NOTE: This application is only valid for the job position and job opening applied for. To be considered for other job
positions or job openings, you must submit a new application. Completed applications must be received by the personnel
office no later than 5:00pm on the closing date.

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