ACKNOWLEDGEMENTS AND CONSENTS
Please be advised that any false or misleading information provided on this employment application or during the preemployment
process may result in retraction of the employment offer or termination of employment. Please read and initial
CONSENT FOR ALCOHOL/DRUG SCREENING
AUTHORIZATION TO OBTAIN CONSUMER REPORTS
I hereby authorize Centaur Employment Company (the "Company") to obtain consumer reports (including motor
vehicle reports, criminal records, education, prior employer verification, workers compensation claims, etc.)
regarding me in connection with my application for employment or, if hired, my continuing employment. I
understand, agree, and take notice that the Company may obtain and use consumer reports to evaluate my
application for employment and whether to continue my employment with the Company. I further recognize that
the reports I authorize the Company to obtain, may contain inaccurate information that could form the basis for a
decision by the Company not to employ me, and I hereby release the Company, its directors, officers, agents,
employees, and insurers, as well as the provider of the report(s), from any and all claims arising out of or relating
to the decision not to employ me and/or any inaccuracies contained in such report(s).
The law requires that the Company provide a copy of the background report obtained during the preemployment process to individuals, upon request, that currently live in the following states, California , Minnesota, or Oklahoma. If you would like a copy, please check this box. | | In the event that you live in a state not previously listed, the Company is not required to and will not provide a copy to you. A copy will be mailed to the address listed on the Employment Application. In the event you wish to have this report sent via email, please provide an email address.
NOTE: This information is used for the sole purpose of obtaining consumer report(s) as defined by the Fair Credit Reporting Act (FCRA). Centaur provides equal employment opportunities to all employees and applicants without regard to race, religion, color, sex, age, national origin, disability status, pregnancy, marital status, sexual orientation, citizenship status, veteran/mili tary status, or any other legally protected category and/or characteristic.