Employment Opportunities

List below three persons, not related to you, who have knowledge of your work performance within the last five years

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

I hereby authorize Guide Dogs of the Desert to investigate my references, work record, education, and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to Guide Dogs of the Desert any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release Guide Dogs of the Desert, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

_I understand that Guide Dogs of the Desert may require applicants for employment to take a urinalysis for drug and alcohol screening as part of the selection process, and that any offer of employment with Guide Dogs of the Desert contingent upon the results of these tests being satisfactory. I understand that if I am employed with Guide Dogs of the Desert, it may require that I submit to a drug and/or alcohol screen if I am involved in an on-the-job accident or if Guide Dogs of the Desert has reasonable suspicion that I am under the influence of drugs or alcohol; and I hereby authorize the release of these drug screen results to Guide Dogs of the Desert.

I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and Guide Dogs of the Desert. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or Guide Dogs of the Desert, and that no promises or representations contrary to the foregoing are binding on Guide Dogs of the Desert unless made in writing and signed by me and Guide Dogs of the Desert’s designated representative.

Should a search of public records (including records documenting an arrest, indictment, conviction, civil judicial action, tax lien or outstanding judgment) be conducted by internal personnel employed by Guide Dogs of the Desert, I am entitled to copies of any such public records obtained by Guide Dogs of the Desert unless I mark the check box below. If I am not hired as a result of such information, I am entitled to a copy of any such records even though I have checked the box below.

Write your full name. This is your e-signature.