I certify that the answers given to the questions and the statements made (including statements on the attached resume, and inserted forms if any) on this application and in the hiring process are true. I understand that a false statement, a false
answer, an omission or a misleading statement may result in a decision not to hire me, the withdrawal of any offer of
employment, or the termination of my employment with Insulation Contractors of WA regardless of when such false, misleading, or erroneous
information is discovered.
I understand that if hired, unless I am employed under a specific written contract or collective bargaining agreement, my
employment with Insulation Contractors of WA will be "at will" and that my employment may be terminated at any time with or without cause and
with or without notice. I understand that no representative of the Company has any authority to make any assurances,
representations or promises contrary to the "at-will" nature of my employment unless it is in writing signed by an authorized
officer of Insulation Contractors of WA. I understand that I may terminate my employment with or without cause and with or without notice at any
time. I further agree that Insulation Contractors of WA reserves the right to make unilateral changes to the terms and conditions of my employment.
I authorize Insulation Contractors of WA or its agents to investigate my references and communicate with my former employers concerning my
employment unless specifically stated otherwise in this application. I authorize all individuals, schools, and employers
named, and all financial institutions, law enforcement agencies, and all persons except as specifically limited on this
application to provide information requested about me, and I promise I will not bring any legal claims or actions against my
current or former employers due to their responses to any job reference request.
I further understand that the completion of an application with Insulation Contractors of WA is a preliminary step to employment. It does not obligate Insulation Contractors of WA to offer employment to me, or for me to accept employment. I further acknowledge that if offered
employment, any offer of employment may be a conditional offer of employment pending successful completion of a drug
screening and/or criminal background check.
FOR MARYLAND APPLICANTS: UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A
CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT
TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND
SUBJECT TO A FINE NOT EXCEEDING $100.
FOR MASSACHUSETTS APPLICANTS: IT IS UNLAWFUL IN MASSACHUSETTS TO REQUIRE OR ADMINISTER A LIE DETECTOR TEST AS A CONDITION OF EMPLOYMENT OR CONTINUED EMPLOYMENT. AN EMPLOYER WHO VIOLATES THIS LAW SHALL BE SUBJECT TO CRIMINAL PENALTIES AND CIVIL LIABILITY. Insulation Contractors of WA COMPANY DOES NOT USE LIE DETECTOR TESTS AS PART OF THE APPLICATION PROCESS.
FOR MONTANA APPLICANTS: THE EMPLOYMENT RELATIONSHIP IS GOVERNED BY THE WRONGFUL DISCHARGE FROM EMPLOYMENT ACT. Mont. Code Ann. § 39-2-901.
FOR RHODE ISLAND APPLICANTS: IF YOU PROVIDE FALSE INFORMATION ABOUT YOUR ABILITY TO PERFORM THE ESSENTIAL FUNCTIONS OF THE JOB, WITH OR WITHOUT ACCOMMODATIONS, YOU MAY BE BARRED FROM FILING A CLAIM UNDER THE PROVISIONS OF THE WORKERS’ COMPENSATION ACT OF THE STATE OF RHODE ISLAND.