It is understood and agreed that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from Hay Creek Companies service if I have been employed. Furthermore, I understand that just as I am free to resign at any time, Hay Creek Companies reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of Hay Creek Companies has the authority to make any assurances to the contrary.
I give Hay Creek Companies the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability Hay Creek Companies and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.
I understand Hay Creek Companies utilizes a drug-free workplace. I understand if I am considered for employment, through company hiring practices, I will be required to take part in a pre-employment drug screen. In addition, I understand that I must produce a verified negative test result before further employment consideration is extended. Finally, I understand the successful completion of the pre-employment drug screening is in no way a contract for employment, expressed or implied.
CONSENT FOR PRE-EMPLOYMENT/EMPLOYMENT, RANDOM, OR REASONABLE SUSPICION
DRUG/ALCOHOL TEST SCREEN
An offer of employment from Hay Creek Pallet, Inc. is contingent upon satisfactory completion of pre-employment
testing for the presence of drugs, adulterants and /or alcohol. All applicants are required to complete this test. If an
applicant does not complete this test they will not be considered for employment. Further, any job applicant whose test
results are verified by the laboratory as positive or adulterated will not be eligible for employment.
I hereby CONSENT to allow the designated clinic to take a specimen of my urine and submit it for a pre-employment,
random, or reasonable suspicion drug test screening. I FURTHER CONSENT to allow the laboratory testing service to
make the results of such screen and other relevant information available to Hay Creek Pallet, Inc.
In addition, I understand that if hired, in the event of an accident or reasonable suspicion, I may be required to submit to a
drug test during my employment. I may also be required to submit to random drug testing.
In consideration for such services being rendered on my behalf, I hereby RELEASE Hay Creek, Inc, the laboratory testing
service, the collection facility, their respective officers, agents, and employees, from any and all claims which I might
otherwise have due to such results being made so available. I hereby CONSENT NOT TO FILE ANY ACTION at law or
in equity against Hay Creek Pallet, Inc. , the laboratory testing service, the collection facility, their respective officers,
agents or employees in connection with the results of such screen being made so available, and I hereby agree to
INDEMNIFY and SAVE HARMLESS Hay Creek, Inc., the laboratory testing service, the collection facility, their
respective officers, agents, and employees from all damages, expenses, reasonable attorney's fees, and costs of court
which they or any of them may suffer or incur, jointly or severally, due to the results of such screen being made so
I have read and understand the above, and agree to undergo a drug screen per the policy.
Refusal to Test
I have read and understand this consent form and the substance abuse policy of Hay Creek, Inc. and hereby refuse to
take the required test. I understand that my refusal means that I will not be eligible for employment with Hay Creek, Inc.