Application for Employment PERSONAL INFORMATIONName* First Last Present Address* Street Address City State / Province / Region ZIP / Postal Code Email Phone number*Secondary Phone numberRefered byEMPLOYMENT DESIREDPositionDate avaiable* Date Format: MM slash DD slash YYYY Salary desired*ARE YOU CURRENTLY EMPLOYED?* Yes No IF SO, MAY WE CONTACT YOUR CURRENT EMPLOYER? Yes No HAVE YOU APPLIED TO LABTECH IN THE PAST?* Yes No When? Date Format: MM slash DD slash YYYY Please upload your CV*Accepted file types: pdf.The curriculum vitae must contain education history, skills, former employment informations, references.I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed by Labtech Diagnostics, falsified statements on this application shall be grounds for termination. I authorize investigation of all statements contained herein and the references and employers listed above to give you any 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 and 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 understand that a consumer credit report or criminal records check may be necessary prior to my employment. If such reports are required, I understand that, in compliance with federal law, the company will provide me with a written notice regarding the use of these reports and will also obtain a separate written authorization from me to consent to these reports. I also understand that a poor credit history or conviction will not automatically result in disqualification from employment.” In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.* I accept the term.