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I certify that the statements I have made are true and correct and without material omission. I understand that making false statements or omitting pertinent facts is sufficient cause for rejection or dismissal from employment. I authorize obtaining information from any person(s), employers, educational institutions, licensing authorities, and/or law enforcement agencies concerning my background, work habits, skill or conduct on the job, with the exception of past employer(s) I have indicated that are not to be contacted. I hereby release such person or entities from all liability for damages for issuing such information.
When I am employed I agree that if at any time I make claims for personal injuries, I will submit myself, upon written request, to examination by a physician or physicians of employer's selection, at employer's expense, as often as may be requested.
I understand that I am applying to an employment agency for temporary or contract assignments. I agree and understand that, if accepted, I will only be offered temporary or contract assignments for work with clients of Erie Personnel. Erie Personnel does not guarantee that I will receive any assignments or any particular amount of work. I may accept or decline any particular assignment when it is offered to me without penalty. Once I accept an assignment, I agree to carry out the assignment. At the conclusion of any assignment or upon the termination of my relationship with Erie Personnel, I agree to carry out the assignment. At the conclusion of any assignment or upon the termination of my relationship with Erie Personnel, I agree that my only entitlement is to the wages that I have earned but have not been paid to me. I agree that the provisions of the Employment Standards Act shall govern all aspects of my employment and the termination of that employment.
Please take a moment to review your application. Indicate that you have read the above statement by entering your initials in the box below. To complete this application, click on the Submit Application button.
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