I understand and agree that any misrepresentation by me on this application will be sufficient cause for rejection of this application and/or termination of employment if I am hereafter employed by the Company. Furthermore, if I am hired, I understand that I will be an employee-at-will and I am free to resign at any time, and that the Company has the authority to terminate my employment at any time with or without cause and without prior notice. I understand that no representative of the Company has authority to make any representations or assurances to the contrary. I acknowledge and agree that any changes in such employment relationship must be made in writing and signed by an authorized representative of the Company.
I understand that if you make an offer of employment to me, it will be a conditional offer of employment and I will be required to submit to a pre-employment medical exam and to provide information in response to medical inquiries, the results of which may disqualify me from employment. If requested, I agree to furnish such information and submit to such testing.
I understand that I will be required to submit to a test to detect the current illegal use of drugs, and if the test results identify that I am currently using illegal drugs, I will not be eligible for employment by the Company. I further understand that I have the right to refuse to submit to such tests or to consent to such tests of my own free will.
I authorize the Company to make a thorough investigation of my past employment, education and job related activities, including federal and state background checks. To the extent permitted by law, I release the Company from any liability which might result from making such investigation and I also release from any liability all persons and entities supplying such information.
I acknowledge that the Company is an equal employment opportunity employer and that the Company does not discriminate in employment. I understand that no question on this application is used for the purpose of excluding the Company’s consideration of me for employment on a basis prohibited by federal, state or local law, or is it used by the
Company for any purpose of attempting to obtain information prohibited by federal, state, or local law.
I understand that the Company will consider this application current information for a period of only sixty (60) days. At the expiration of sixty (60) days, if I have not heard from the Company, and if I still desire to be considered for employment, I understand that it will be necessary for me to complete a new application.
PRE-EMPLOYMENT SELF-IDENTIFICATION FORM
IMPORTANT – Bell Incorporated is a government contractor subject to Executive Order 11246, section 503 of the
Rehabilitation Act of 1973, as amended, and section 402 of the Vietnam Era Veterans Readjustment Assistance Act of 1974, as amended, which requires government contractors to take affirmative action to employ and advance in employment minorities, women, qualified individuals with disabilities, disabled veterans, and veterans of the Vietnam era.
To enable us to meet government recordkeeping and reporting requirements for the administration of civil rights laws and regulations, Bell Incorporated, invites you to complete this personal data form. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information obtained will be used solely for government recordkeeping and reporting purposes and will be detached and kept in a separate, confidential file. Any information that you choose to provide will not be considered by Bell Incorporated for employment purposes and will be treated as confidential. Your voluntary cooperation is
You may inform us of your desire to benefit under the program at this time and/or at any time in the future.
It is the policy at Bell Incorporated to provide equal employment and advancement opportunities to all qualified individuals. To achieve this goal, Bell Incorporated is dedicated to taking affirmative action to employ and advance in employment, minorities, women, qualified disabled persons, disabled veterans, and veterans of the Vietnam Era. All personnel actions, including recruitment, hiring, training, and promoting persons in all job titles, will be administered without regard to race, color, religion, sex, national origin, age, disability or Vietnam Era veteran status, or other protected basis and all employment decisions are based solely on valid job requirements.
Asian (Not Hispanic or Latino) – A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.