Michael Titze Company, Inc. Employment Application

We are an Equal Opportunity Employer. All applicants are considered without regard to race, color, religion, disability, sex, national origin, age (for those age 40 or over), or any other basis protected by federal, state, or local law. This employment application is only active for 30 days. After this time a separate employment application must be submitted in order to be considered for employment.

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I authorize the Michael Titze Company, Inc (the “company”) to make an investigation of all information in this application and I release from liability all companies and corporations supplying such information. I understand any false or omitted answers, statements, or implications made by me on this application or other related documents shall be considered sufficient cause for denial of employment to this company. Upon termination of my employment for any reason, I release this company from all liability for supplying any information concerning my employment to any potential employer. I authorize this company to request a copy of my credit report, motor vehicle driving record, and any other report deemed necessary through various third party sources. As required by law, upon request within a reasonable period of time, I will be notified as to the nature and scope of such investigations. I hereby agree to submit to any drug test required of me, whether prior to my employment or if employed by this company at any time hereafter. If requested, I will take a post-job offer physical examination and my employment, in the event that I receive medical treatment for any condition, including a physical, psychological, emotional, or psychiatric condition that is job-related, I hereby authorize the limited release and exchange of such medical information relating to my condition between the treatment provider and a company-designated physician. I further understand that this is an application for employment and that no employment contract is being offered. I understand that if I am employed, such employment is for an indefinite period of time and the company may change wages, benefits, and conditions at any time. My employment is at will. No individual with the company is authorized to change the employment-at-will status except the president of the company, who may do so only in writing. My signature below indicates that I have read, understand, and agree to the above.