Application

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AUTHORIZATION FOR RELEASE AND USE OF INVESTIGATIVE CONSUMER REPORTS

As part of Ardmore’s  procedures for processing employment applications and for other employment purposes, including promotion, transfer, or retention during the term of my employment, ARDMORE, INC. will do a thorough investigation of my entire work history and verify all data given in my application for employment. I understand that a Bureau of Criminal Investigations (BCI) check, Motor Vehicle Records check (MVR), drug test/screen,   ODH Nurse Aid Registry, OD DD Abuser Registry, Excluded persons and Entities Registry, Sex Offender & Child-Victim Registry, Award Management Registry, Incarcerated & Supervised Offenders; consumer reports or investigative consumer reports may be obtained by Ardmore, Inc.  I understand I must receive a satisfactory Health Screen, Tuberculin Test, BCI, Registry Checks and MVR  will be required prior to employment. 

 

I understand that a Consumer Reporting Agency may not give out information about me without my written consent.  I understand that no report containing medical information about me will be provided to Ardmore, Inc. without my specific prior consent releasing such information, which is in addition to this general authorization.  Furthermore, I understand that I have the right to make a written request to Ardmore, Inc. within a reasonable period of time, that I will be provided with a complete and accurate disclosure concerning the nature and scope of the investigation if interviews will be conducted.

 

I hereby authorize Ardmore, Inc. to request a report from the Ohio Bureau of Criminal Identification & Investigation, the Ohio Bureau of Motor Vehicles, and other Consumer Reporting Agencies to be used for employment related purposes, including hiring, promotion, transfer, or retention now or in the future.

 

I hereby authorize and request that any present or former employer, school, police department, financial institution, or other person having information or knowledge about me, furnish such information to the bearer of this authorization in connection with an application for employment.

 

I agree to release and discharge Ardmore, Inc. its employees, officers, agents, affiliates, Board of Directors and shareholders, from any and all claims, rights of action or liability of any kind or nature that could result from Ardmore, Inc.’s use or reliance upon the information contained in such consumer reports.

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AUTHORIZATIONS

Ardmore, Inc. selects the most qualified individuals for the job, based upon job-related qualifications, regardless of race, color, creed, sex, national origin, age handicap, or other protected groups under state, federal, or local Equal Opportunity Laws.

 I understand and Agree That:

Any material misrepresentations or deliberate omission of a fact on my application may be justification for refusal of or, if employed, termination from employment.

It is my understanding that ARDMORE, INC. will do a thorough investigation of my entire work history and may verify all data given on my application for employment, drug test/screen, related papers, or oral interviews. I authorize such investigation, the giving and receiving of any information requested by ARDMORE, INC. as I release from liability any person giving or receiving any such information. I understand that falsification of data so given or other derogatory information discovered as a result of this investigation may prevent my being hired, or if hired, may subject me to immediate dismissal.

It is my understanding that I am expected to keep Human Resources informed in writing of any changes in my status within three (3) working days of the change.  This includes notification of any change in Motor Vehicle license status (including any citations/points issued) and criminal charges/status (including arrests).

I agree that my employment may be terminated by Ardmore, Inc. at any time. 

If requested by the management at any time; I agree to submit to the search of any work space that may be assigned to me and I hereby waive all claims/damage on account of such search. 

I authorize any physician or hospital to release any information which may be necessary to determine my ability to perform the duties of a job I am being considered for prior to employment or in the future during my employment with Ardmore, Inc.

The Immigration Reform and control Act of 1986 is a nationally imposed law requiring employers to hire only US citizens and aliens lawfully authorized to work in the United States.  Employers are required to maintain documentation that provides proof of each employee’s identity and employment eligibility.  If you accept employment at Ardmore, Inc. you will be required to supply documents that establish your identity, verify your employment eligibility and sign a verification form (I-9) that will be kept on file.  A list of documents verifying the above conditions are available from Human Resources.  

 I further understand that this is an application for employment and that no employment contract is being offered. I understand that if I am employed, such employment is for no definite period of time and that ARDMORE, INC.. can change wages, benefits, and conditions at any time.

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