Providing this information is strictly voluntary. If you choose not to provide this information, select 'Decline to Identify'. The law prohibits employers from taking any adverse action against you because you choose not to provide this information. The information you provide will remain confidential and will not become part of your personnel file. If you do not wish to complete this form, the company will report on a visual basis. Select a response from the information requested below

I certify that to the best of my knowledge and belief, the answers given by me to the foregoing questions and the statements made by me in this application are correct and complete. I understand that any false information, misrepresentation, or material omission of information contained in this application or any document to secure employment may result in rejection of this application or immediate discharge if I am employed. I hereby authorize Alpha to communicate with my former employers, school officials, and persons named as references and investigate any other matters related to my suitability for employment and, further, authorize my former employers to disclose to Alpha any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release Alpha, my former employers, and all persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure. I understand that, if employed by Alpha, I may be requested to work overtime hours or hours outside a normally defined work day or work week. I may be required to supply proof of a valid driver's license as it pertains to my employment. I may also be required to drive my own vehicle(s) to and from job sites, and agree to carry liability insurance on said vehicle(s) as required by law. It is not the policy of Alpha to enter into employment contracts unless they are in writing and signed by the Human Resources Manager, President, CEO, COO, CFO or OUM. Accordingly, I understand that, if hired, my employment and compensation can be terminated at-will with or without notice, with or without cause at any time, at the option of either myself or Alpha. I understand and acknowledge that no employee or representative of Alpha, other than the Human Resources Manager, President, CEO, COO, CFO or OUM specifically approving a written contract in writing, has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing. Employment by Alpha is conditioned upon the applicant's execution of Alpha's offer letter, the acknowledgement and receipt of Alpha's Personnel Policy Manual, passing of drug test if required, and having an insurable driving record and valid driver's license where required. I also understand that all offers of employment are conditioned on the provision of satisfactory proof of my identity and legal authority to work in the US. Lastly, I understand that my employment with Alpha and its affiliates is contingent upon passing the background investigation. If outcome is unfavorable, employment can be rescinded and/or terminated.