CERTIFICATION
Please read the following statement carefully.
CASA of Southeast Mississippi, Inc. is an Equal Opportunity Employer and does not discriminate on the basis of sex, race, creed, religion, or handicap.
I certify that all information provided on this application is true, complete, and correct to the best of my knowledge. Any misrepresentation or omission of any fact on my application, resume, or other materials or during any interviews can be justification for refusal of employment, or in the event of employment, grounds for discharge. I also understand that this application will be kept on file for a period of one (1) year from the date received and it is my responsibility to notify the agency if any information changes during that time.
In consideration of my employment, I agree to comply with the policies, rules, regulations and procedures of CASA of Southeast Mississippi, Inc. Further, CASA of Southeast Mississippi, Inc. is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause. It is further understood that “at will” employment relationship may not be changed by any written document or any conduct unless such change is specifically acknowledged in the bylaws of the CASA of Southeast Mississippi Corporation.
Having made application to CASA of Southeast Mississippi, Inc. and desiring them to be informed of my past record and character, whether it be financial, academic, military, medical, employment, judicial, or personal reference, I, the undersigned, being under no disability whatsoever, hereby authorize the release of such information, privileged or other wise, to CASA of Southeast Mississippi, Inc. and its representatives, and release all contributing parties of such information from any charge or liability whatsoever because of furnishing said information.
I understand that if CASA of Southeast Mississippi, Inc. makes a conditional offer of employment, I will be required to undergo a pre-employment drug/alcohol screening. I understand that after employment commences with CASA of Southeast Mississippi, Inc. I may be required to submit to a drug/alcohol screening if there is a reasonable suspicion that I have utilized alcohol or controlled substances in a manner prohibited by CASA of Southeast Mississippi, Inc. I hereby consent to having the results of any and all drug/alcohol screening and testing disclosed to CASA of Southeast Mississippi, Inc. and that refusal to consent to such screening/testing is justification for refusal of employment or, in the event of employment, grounds for discharge.
I further understand that an inquiry must be made with the proper authorities, including the Child Abuse Central Registry, before employment may begin.
