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Personal Information

Centric is committed to making our workplace inclusive of transgender and gender non-binary people. Knowing the appropriate pronouns for all our candidates helps us create a more welcoming space for everyone. Providing this information is encouraged but completely voluntary.

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Application Review

Applicant Statement

 I, the undersigned applicant, understand and acknowledge the following terms and conditions in connection with my application for a job position of {Job Title}:

Applicant Acknowledgement: 

  1. I certify that all information provided on my application, résumé, and during any interviews is true, complete, and accurate to the best of my knowledge. 

  2. I understand that any misrepresentation, falsification, or omission of information may disqualify me from further consideration for employment or, if discovered after hire, may result in termination of employment. 

  3. I understand that submission of this application does not guarantee an offer of employment and does not create a contract of employment. 

  4. I acknowledge that any offer of employment is contingent upon the successful completion of the Company’s required pre-employment processes, which may include background checks, drug screening, and/or verification of credentials as applicable to the position. 

  5. I understand that the Company reserves the right to withdraw or rescind any offer of employment if results from these processes do not meet Company or client-specific requirements. 

Background Check and Drug Screening Disclosure: 

Depending on the position and client requirements, the Company may require differing background checks and/or drug screening as part of the pre-employment or post hire requirements: 

  1. I understand that I will be required to consent in writing to such screenings, and failure to do so may disqualify me from employment consideration. 

  2. I acknowledge that results from these screenings will be used solely for employment purposes and handled in accordance with applicable federal, state, and local laws, including the Fair Credit Reporting Act (FCRA), where applicable. 

At-Will Employment Statement: 

Unless otherwise stated in a signed agreement authorized by the Company’s executive leadership: 

  1. I understand that employment with the Company is at-will, which means either I or the Company may terminate the employment relationship at any time, with or without cause, and with or without notice. 

  2. I further understand that no supervisor, manager, or representative of the Company has authority to make any agreement contrary to this at-will relationship unless it is in writing and signed by the Company’s authorized representative. 

Conditional Employment Acknowledgement: 

  1. I understand and acknowledge the following terms regarding conditional employment: 
    My employment with the Company is conditional and contingent upon the satisfactory completion of all required pre-employment processes, which may include, but are not limited to, background checks, drug screenings, employment verification, education verification (highest level achieved), and/or credential/license verification, as applicable to the position or client requirements. 

  2. If results from any of these processes do not meet Company or client-specific standards, or if information I provided is found to be false, incomplete, or misleading, the Company may rescind my offer of employment or terminate my employment immediately through the Adverse Action process. 

  3. I understand that beginning work prior to the completion of these checks does not alter the conditional nature of my employment. 

  4. I further understand that any hours worked during this conditional period will be paid in accordance with applicable laws; however, the Company is not obligated to continue employment if conditions are not met. The Company may be required to re-assign or remove me from an assignment, if specific client requirements are not met.  

  5. I acknowledge that this conditional status will remain in effect until the Company provides confirmation that all pre-employment requirements have been successfully satisfied. 

 

I have read and fully understand this Applicant Acknowledgement, Disclosure, and Conditional Employment Acknowledgement. By signing below, I voluntarily consent to the terms described above. 

Candidate Sign Off

At Centric, we are committed to creating an inclusive workplace that reflects the diversity of the communities we serve. As part of our efforts, and to meet federal reporting requirements, we invite you to complete the Voluntary Self-Identification Form on the next page. Providing this information is optional and will not affect your application, hiring decision, or employment status. Any data you choose to share will be kept confidential and used only in compliance with applicable laws.