The City of Abbeville is an Equal Opportunity Employer and as such will recruit and hire employees without regard to race, color, religion, sex, national origin, age, disability, or military status.

EMPLOYMENT IS CONDITIONED UPON THE APPLICANT'S SUCCESSFUL COMPLETION OF A POST-OFFER MEDICAL EXAMINATION AND DRUG SCREENING.

Start with most recent position and work back; give specific information about each position. Use separate block for each position, even if it is the same employer. A resume may be attached to the application,but may not be substituted for this section.

As an applicant for employment with the City of Abbeville, I have furnished information for use in determining my qualifications for employment. By submitting this application, I hereby authorize the City of Abbeville to conduct a thorough background investigation and to further support the statements contained herein.

I hereby release the City of Abbeville, current and past employers, and references named herein (or in accompanying resume), from liability or damage resulting from providing the information requested.

I agree to submit to a pre-employment drug screening. The results of such analysis may be grounds for disqualifying me or terminating my employment.

I agree to have a physical examination (City paid) as required for my position and understand that any offer of employment is contingent upon my passing this physical examination.

I understand and agree that, if employed, I will be an employee “at-will” and will have the right to terminate my employment at any time, with or without notice and with or without cause, and that the City of Abbeville shall have the same right.

If employed, I agree to abide by all present and subsequently issued personnel procedures of the City of Abbeville.

I understand the essential job functions of the position for which I am applying.

I understand that if hired, I must meet the eligibility verification requirements of U.S. Immigration and Customs Enforcement (ICE) and submit appropriate documentation to satisfy the requirements of completing ICE Form I-9. (Most commonly used forms of identification are (1) a Social Security Card and driver’s license, or (2) a passport.)

I affirm that all statements on this form are true and accurate to the best of my knowledge and understand that any misrepresentation or omission of facts may result in my being disqualified from further consideration or discharged should I already be employed by the City.

My signature conveys that I have read, understand, and agree to all the statements listed above.

IN CONNECTION WITH, AND DURATION OF MY EMPLOYMENT (INCLUDING CONTRACT FOR SERVICES) WITH YOU, I UNDERSTAND THAT INVESTIGATIVE BACKGROUND INQUIRES ARE TO BE MADE ON MYSELF THAT MAY INCLUDE CONSUMER, CRIMINAL, DRIVING, ACADEMIC AND OTHER REPORTS. THESE REPORTS WILL INCLUDE INFORMATION AS TO MY CHARACTER, WORK HABITS, PERFORMANCE AND EXPERIENCE. FURTHER, I UNDERSTAND THAT YOU MAY BE REQUESTING INFORMATION FROM VARIOUS FEDERAL, STATE AND OTHER AGENCIES WHICH MAINTAIN RECORDS CONCERNING MY PAST ACADEMIC, EMPLOYMENT (including WORKER’S COMPENSATION CLAIMS), DRIVING, CREDIT, CRIMINAL, AND CIVIL HISTORIES AND OTHER EXPERIENCES. I AUTHORIZE, WITHOUT RESERVATION, ANY PARTY OR AGENCY CONTACTED BY THIS EMPLOYER OR ITS AGENT, INFO QUEST, INC. TO FURNISH THE ABOVE INFORMATION:

PROSPECTIVE EMPLOYER: City of Abbeville, S.C.

REQUESTOR: Office of Human Resources

RETURN FAX 843-233-9676/800-588-1152 OR EMAIL infoquest@securescreening.info
Toll Free 800-507-9628/ Fax 800-588-1152 P.O. Box 15521, Surfside Beach, SC 29587
www.In-foquest.com