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5610 Crawfordsville Rd, Bldg. 9 Suite 912 Indianapolis IN 46224
Office: 317.757.6004 | Fax: 317.347.0608
A1 Bringing Glory Home Services LLC is an equal Opportunity Employer. Employment offers are made on basis of qualifications, and without regard of race, sex, religion, national or ethnic origin, disability, age, veteran status or sexual orientations.
Please complete this employment application form for consideration. We strongly suggest proof-reading your application before clicking the submit button. We look forward to working with you!
I have applied for a position with A1 Bringing Glory Home Services. I have been
requested to provide information for their use in reviewing my background and
qualifications. Therefore, I hereby authorize the investigation of my past and present work character, education, military and employment qualifications.
I authorize the release of my information to A1 Bringing Glory Home Services whether the information is of record or not, and I do hereby release all persons, agencies, firms, companies, etc., from any damages resulting from providing such information.
This authorization is valid for 180 days from the date below. Please keep this copy of my release request in your files.
If you are offered and accept employment with A1 Bringing Glory Home Services LLC. in the interest of safety for all concerned, you will be required to take a urine test for drug and / or alcohol screening.
I have been fully informed of the reason for this
urine test for drug and/or alcohol screening. I fully understand what I am being tested for, the procedure involved, and do hereby freely give my consent. In addition, I
understand that the results of this test will be forwarded to my potential employer and become part of my record.
If this test is positive and l am not hired. I understand that I will be given the opportunity to explain the results of this test.
I hereby authorize these test results to be released to:
A1 Bringing Glory Home Services LLC
a) After expiration or termination of employment agreement I agree to respect the confidentiality of A1 Bringing Glory Home Services LLC customer lists, trade secrets, or other confidential information, and not to disclose them to anyone.
b) I agree not to make use of research done in the course of 180 days while employed by a competitor of A1 Bringing Glory Home Services LLC.
c) I agree not to set up in business as a direct competitor to A1 Bringing Glory Home Services LLC within 50 miles of A1 Bringing Glory Home Services LLC for a period of 1 year following the expiration of termination of employment. For the purpose of this covenant not to compete, competition is defined as soliciting or accepting employment by, or rendering professional services to, any person or organization that is or was a client of A1 Bringing Glory Home Services LLC during the term of my work with A1 Bringing Glory Home Services LLC.
d) I agree to pay liquidated damages of $1,000 per month for 12 months for a total of $12,000 (twelve thousand dollars) if any violation of this paragraph is proved or admitted for ach documented violation.
By signing below, you acknowledge that you have read, understood, and will comply with the above provisions. You also understand that you will be held accountable for upholding these.
I certify that the information in this application is accurate, current and complete. I understand that incorrect statements or omission may result in disqualification from further consideration or termination of employment.
I authorize A1 Bringing Glory Home Services LLC to investigate my employment history, credentials and to obtain any relevant information (including a criminal background check) needed to make an employment decision. I authorize A1 Bringing Glory Home Services LLC to disclose this application along with any information about me obtained through reference checks or during the course of the interview process for state, federal, contractual or accreditation audit purposes. I also authorize A1 Bringing Glory Home Services LLC to
disclose any of my performance Appraisals, disciplinary record, or skills test for the same
purpose as above. I release A1 Bringing Glory Home Services LLC and any individual or entity providing information to A1 Bringing Glory Home Services LLC from all liability for any damages from the disclosure of this information.
I also understand and agree that: