A.C. Miller provides a broad range of quality precast products
"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 statements on this application shall be grounds for dismissal.
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 company from all liability for any damage that may result from utilization of such information.
I also understand and agree that no representative of the company 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 company representative.
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws"
I have applied for employment with A.C.Miller Concrete Products, Inc. and have provided my previous employment. I authorize A.C.Miller Concrete Products, Inc. to conduct a reference check with my present and/or my previous employer(s). I understand that reference information may included, but not limited to, verbal and written inquiries of information about my employment performance, professional demeanor, rehire potential, dates of employment, salary and employment history.
My signature below authorizes my former or current employers and references to release information regarding my employment record with their organizations and to provide any additional information that may be necessary for my necessary for for my application for employment with A.C.Miller Concrete Products, Inc., whether the information is positive or negative. I knowingly and voluntarily release all former and current employers, references and A.C.Miller Concrete Products, Inc. from any an all liability arising from their giving or receiving information about my employment history, academic credentials and suitability for employment with A.C.Miller Concrete Products, Inc.
This form may be photocopied or reproduced as facsimile, and these copies will be as effective a as release or consent as the original which I sign.