I understand and agree that any EPI Staffing Solutions, Inc.
employment I may accept is terminable at will by me or by EPI Staffing Solutions, Inc., without
need for cause or notice; that misstating or omitting any information in this application
disqualifies me for prospective or continued employment with EPI Staffing Solutions or its
clients; and that I will be considered unavailable for work if, after an assignment ends, I do not
contact EPI Staffing Slutions to discuss further assignments.
I
authorize EPI Staffing Solutions to conduct a background check on me as a candidate for
employment. I understand that a reference check by an employment service qualifies as an
"Investigative Consumer Report" under the Fair Credit Reporting Act. Such reports
include information about a consumer's character, general reputation, personal characteristics,
and mode of living (whichever are applicable), obtained through personal interviews with sources
like neighbors, friends, or associates. I understand that I have the right to make a written
request, within a reasonable amount of time, to receive a complete and accurate disclosure of the
nature and scope of such an investigation, if one is conducted.
In
the event of my employment to a position in this Company, I will comply with all rules &
regulations of this Company. I understand that the Company reserves the right to require me to
submit to a test for the presence of drugs in my system prior to employment and at any time during
my employment to the extent permitted by law. I also understand that any offer of employment may
be contingent upon the passing of a physical examination. I consent to the disclosure of the
results of any physical examination and related tests to the Company. I also understand that I may
be required to take other tests such as personality & honesty tests, prior to employment and
during my employment. I understand that should I decline to sign this consent or decline to take
any of the above tests, my application for employment may be rejected or my employment may be
terminated.
I
agree that any claim, dispute or controversy (including, but not limited to, any and all claims of
discrimination and harassment) which would otherwise require or allow resort to any court or other
governmental disputes resolution forum between myself and the Company (or its owners, directors,
officers, managers, employees, agents, and parties affiliated with its employee benefit and health
plans) arising from, related to, or having any relationship or connection whatsoever with my
seeking employment with, employment by, or other association with the Company, whether based on
tort, contract, statutory or equitable law, or otherwise, (with the sole exception of claims
arising under the National Labor Relations Act which are brought before the National Labor
Relations Board, claims for medical and disability benefits under the Florida Workers
Compensation Act shall be submitted to and determined exclusively by binding
arbitration under the American Arbitration Association by one (1) arbitrator in accordance with
the Commercial Arbitration Rules. The arbitrator shall not be empowered to award punitive
damages to any party, and all of the mandatory and permissive rights to discovery; provided,
however, that in addition to requirements imposed by law, any arbitrator herein shall be subject
to disqualification on the same grounds as would apply to a judge of such court.
Resolution of the dispute shall be based solely upon the law governing the
claims and defenses pleaded, and the arbitrator may not invoke any basis including but not limited
to, notions of "just cause") other than such controlling law. The arbitrator shall have
the immunity of a judicial officer from civil liability when acting in the capacity of an
arbitrator, which immunity supplements any other existing immunity. Likewise, all communications
during or in connection with the arbitration proceedings are privileged and confidential. As
reasonably required to allow full use and benefit of this agreement's modifications to the act's
procedures, the arbitrator shall extend the times set by the act for the giving of notices and
setting of hearings. Awards shall include the arbitrator's written reasoned opinion and, at either
party's request within 10 days after issuance of the award, shall be subject to reversal, remand
or modification following review of the record and arguments of the parties by a second arbitrator
who shall, as far as practicable, proceed according to the law and procedures applicable to
appellate review by the Florida District Court of Appeals of a civil judgment following court
trial. Should any portion, word, clause, phrase, sentence or paragraph of this Agreement be
declared void or unenforceable, such portion shall be considered independent and severable from
the remainder, the validity of which shall remain unaffected.
I
will not solicit nor accept employment with an EPI Staffing Solutions client to whom I am
referred without the express permission of EPI Staffing Solutions, Inc.
This
application will be considered as current for a period of 180 days after it is filed. If I
wish to be considered for employment after that period, I understand I must renew my application
in person and in writing.
I
hereby state that all of the above information that I provided on this application or any other
documents filled out in connection with my employment, and in any interview is true and correct. I
have witheld nothing that would, if disclosed, affect this application unfavorably. I understand
that if I am employed and any such information is later found to be false or incomplete in any
respect, I may be dismissed. |
