Application For At Will Employment (Page 3 of 8) in pdf

EDUCATION AND TRAINING

Years

Attended

Graduated?

Degree or Diploma

High School (Name, City, State)

Yes

College (Name, City, State)

________

Yes

Mo. / Yr. ______

________

Post Graduate (Name, City, State)

________

Yes

Mo. / Yr. ______

________

Business or Trade (Name, City, State)

________

Yes

Mo. / Yr. ______

________

SPECIAL SKILLS

List any special training, skills, hobbies, or interests you believe help qualify you for the position applied for:

Software Knowledge:

CERTIFICATION AND AGREEMENT

Please read carefully before signing.

•

I certify that the information contained in this application is true and correct to the best of my knowledge and understand

that any false statement or omission on this application is grounds for rejection of my application or, if discovered after I am

employed, termination.

•

I consent and authorize RadioShack Corporation to conduct an investigation, including but not limited to, verification of employ-

ment-related information. I understand that further information concerning the nature and scope of such investigation, if one

is made, is available to me upon request. I hereby authorize all previous employers to release any information they may have

concerning me, excluding medical information, and I release all such employers for any and all liability arising out of the

release of such information to RadioShack Corporation. I understand that the information provided in this application will be

used solely for determining my eligibility for employment.

•

In accordance with RadioShack Corporation’s drug-free workplace policy, applicants being considered for employment

in designated positions or within designated markets must satisfactorily pass a urine test conducted at a local medical

facility for the purpose of determining the presence of illegal drugs. I understand if I am selected for consideration of

employment in a designated position or market, I will be provided complete details regarding the testing procedures and have

an opportunity to execute authorization and consent forms prior to any testing.

•

I understand and agree that if an offer of employment is made, I must provide documentation evidencing my authorization to

work in the United States, in accordance with the Immigration Reform and Control Act of 1986, as amended.

•

I understand and agree that if employed, I will be an employee at will. As an employee at will: (1) either RadioShack

Corporation or I may terminate the employment relationship at any time, with or without cause; and (2) there is no agreement,

express or implied, between RadioShack Corporation and me for any specific period of employment or for continuing or long-

term employment. I understand and agree that if hired my at will employment with RadioShack Corporation may only be

modified by a separate written document signed by me and an executive officer of RadioShack Corporation.

Signed

Date

APPLICANT SIGNATURE

Application For At Will Employment Page 3

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