“I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and I release Ramey Martin Energy Tools, LLC (herein “the company”) from all liability for any damage that may result from utilization of such information.
I acknowledge and authorize, as a condition of pre-employment, I must pass a drug screening test, there are no exceptions to this requirement, and that when screening tests are done for drugs (and/or alcohol) and I will be required to verify my identity and cooperate in the approved specimen collection procedures (e.g. urine, hair, blood, breath). I also acknowledge and authorize that as a condition of pre-employment, that a physical, functional capacity testing may be done, to be sure I can safely perform all the physical duties required of me and I will be required to verify my identity and cooperate in the testing. I further acknowledge and authorize the release of any and all final results of the preu0002employment drug and/or alcohol screening test, as well as, any and all physical, functional capacity testing and release the use of those results to the company. I further release the company from all liability for any damage that may result from utilization of such testing and/or 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 an 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.
By agreeing below, I acknowledge that I have read and fully understand this statement and accept all terms as outlined above."