name & location of school
did you graduate?
FORMER EMPLOYERS (list below last five employers, starting with last one first)
References (Given below the names of three persons not related to you, whom you have known at least one year.)
Driver's License Information (Please provide the following information from your driver's license)
ADDITIONAL DOCUMENTS (Please upload a copy of your Driver's license)
AUTHORIZATION TO OBTAIN CONSUMER REPORTS AND/OR DRIVING RECORDS
Prospective Employer/Current Employer: Villanova Consturction Co., Inc.
Consumer reports may be obtained as part of the (Prospective Employer/Employer) evaluation of my job application/employment. The reports may be procured by Oakland Insurance Agency and may include my driving record, an assessment of my insurability under the Company's insurance coverages, or other consumer reports. By signing tghis disclosure, I hereby authorize the Company to procure such reports and additional reports. By signing this disclosure, I hereby authorize the Company to procure such reports and additional reports about me from time to time, as it deems appropriate, to evaluate my insurability or for other permissible purposes.
"Upon submitting this application I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statement on this application shall be grounds for dismissal.
Upon submitting this application I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the Villanova Construction Co., Inc. from all liability for any damage that may result from utilization of such information.
Upon submitting this application I also understand and agree that no representative of Villanova Construction Co., Inc. 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, unless it is in writing and signed by an authorized representative of Villanova Construction Co., Inc.
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the American with Disabilities Act (ADA) and other relevant federal and state laws."
The electronic signature of Applicant below is of legal effect and enforceable pursuant to the Uniform Electronic Transactions Act.