Mark Haynes Construction

3130 State Route 18 E.
Norwalk, OH 44857

Phone: 419-663-2457

Employment Application

Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, or the presence of a non job-related medical condition or handicap.

The employment relationship between Mark Haynes Construction, Inc. and its employees is at-will and voluntary. This application is not a contract.

Nov 20, 2017

By my name above, I authorize Mark Haynes Construction, Inc. to obtain information -- written, oral, or other -- from a consumer reporting agency bearing on my credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, mode of living, criminal background, employment history and driving background (motor vehicle report/MVR). I understand that this investigation may include interviews with friends, acquaintances, or others who may have relevant information and that this report will be used for employment purposes, including evaluating me for employment, promotion, reassignment, or retention as an employee of Mark Haynes Construction, Inc. I understand that I have a right to request disclosure of the nature and scope of the report, including the name, address, and phone number of the consumer reporting agency as well as a summary of my rights under the federal Fair Credit Reporting Act, if the report involves personal interviews with sources such as my friends, acquaintances, or others who may have relevant information. Finally, notwithstanding anything else in this document, I understand Mark Haynes Construction, Inc. reserves the ability to avail itself of any rights set forth in any applicable federal, state, or local law, including the Fair Credit Reporting Act, as amended by the Fair and Accurate Credit Transactions Act (the "FACT Act").

I understand that if offered a position with Mark Haynes Construction, Inc., I will be required to submit to a pre-employment drug screening. I understand that unsatisfactory result from, refusal to cooperate with, or any attempt to affect the results of these tests will result in withdrawal of any employment offer or termination of employment if already employed. I also authorize medical providers to release the results of my pre-employment drug test and all future employment related physicals and drug tests to Mark Haynes Construction, Inc.

I certify that the answers given in this Employment Application are true and complete to the best of my knowledge and authorize Mark Haynes Construction, Inc. to verify the accuracy of my statements and to obtain reference information regarding my work performance. I understand that the falsification, misrepresentation or omission of any facts in this document may result in denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.

I hereby authorize any and all schools, former employers, references, background-checking agencies, and courts to provide information to Mark Haynes Construction, Inc. and I release all parties involved from any and all liability for any and all damage that may result from providing such information.

I UNDERSTAND THAT NOTHING SAID OR NO ACTIONS TAKEN DURING THE RECRUITMENT, APPLICATION OR INTERVIEW PROCESS SHALL BE DEEMED TO CONSTITUTE THE TERMS OF AN EXPRESS OR IMPLIED EMPLOYMENT CONTRACT. I UNDERSTAND THAT ANY EMPLOYMENT OFFERED IS FOR AN INDEFINATE DURATION AND AT WILL, AND THAT MARK HAYNES CONSTRUCTION, INC. OR I MAY TERMINATE MY EMPLOYMENT AT ANY TIME, WITH OR WITHOUT CAUSE OR NOTICE.

BY TYPING MY NAME ABOVE AND SUBMITTING THIS FORM I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.