Full Legal Name
Record of Education
List below present and past employment, for the past 10 years, beginning with your most recent
employer. A resume may be attached; however, you are still required to complete all information.
We are an Equal Employment Opportunity Employer, and maintain a policy of non‐discrimination with respect to all employees and applicants for employment.
At Will Statement:
“I understand that, if hired, my employment would be “at‐will” and could be terminated at any time by either party, with or without cause and with or without notice.”
Statement of Truth:
“I certify that the statements I have made are true and correct to the best of my knowledge. I understand that the submission of any false information or the omission of any requested information in connection with my application for employment, whether on this document or not, may be cause for failure to hire or for immediate discharge should I be employed by VME, or any of its entities."
Authorization to Release Information:
In consideration of my application for (including contract services), or continued employment with VME or any of its entities, I authorize VME, to conduct and report research and share with each other, information about my background including, but not limited to, information about my prior employment, education, driving record, consumer credit history, criminal record, workers’ compensation claims and general public records history.
Further, I understand that an investigative consumer report may be requested from various Federal, State, Local and other agencies. I understand that such an investigative report may contain information about my background, mode of living, character and personal reputation; and that I am entitled to be advised of the nature and scope of the investigation requested within a reasonable time after I ask for this information in writing.
I HEREBY AUTHORIZE, WITHOUT RESERVATION, ANY PERSONS, AGENCY OR OTHER ENTITY CONTACTED BY VME TO FURNISH THE ABOVE‐MENTIONED INFORMATION
I understand that any offer of employment may be contingent upon my having completed the entire hiring process. That process includes employment or personal references; pre‐employment drug screen; pre‐employment assessments; and satisfactory background check, which may include but not limited to motor vehicle, credit and criminal records
Drug Testing Policy
Please review our Drug & Alcohol-Free Workplace policy
I acknowledge that I have received a copy of VME’s Drug Testing Policy, that I
have read and understand the policy, and that by signing this acknowledgment, I agree to adhere to the
policy as a condition of the application process and/or employment with VME. I also acknowledge that I am
an at‐will employee and that my employment may be terminated at any time for good cause, bad cause or
no cause. I further acknowledge that my failure to adhere to this policy may subject me to disciplinary
action, up to and including immediate termination without advance warning.
I further acknowledge that I have reviewed the policy and have been given the opportunity to ask questions
about the policy. I understand that my refusal to submit to a drug screen or a positive result on such a drug
screen can lead to disqualification in the application process and/or my immediate termination for workrelated
Consent for Text Message Notifications
I consent to receive text messages and notifications in lieu of or in addition to
phone calls and emails from VME Process, Inc. ("VME").