Maintenance Technician – Kentwood

Applicant's Certification and Agreement
Please read carefully and sign below if you agree to these terms of employment.

1.Certification of Truthfulness:  I represent that all my statements in support of my Application for Employment are true and complete.  I understand and agree that if Autocam, at any time, should determine that any requested or relevant information was withheld by me or any of my statements are false or misleading, I may be discharged.
2.Employment at Will:  If hired by Autocam, I agree to comply with all rules, regulations, policies, and communications directed to employees, including any changes made from time to time.  I understand that I will be free to resign my employment at any time with or without cause, and with or without prior notice or warning to Autocam.  I agree that Autocam also may terminate my employment at any time, with or without cause and with or without prior review, notice, or warning.
3.Limitation on Claims:  I agree that any lawsuit against Autocam and/or its agents arising out of my employment, or my application for or the termination of my employment, including but not limited to claims arising under State or Federal civil rights statutes, must be brought within the following time limits or be forever barred:  (a) for lawsuits requiring a Notice of Right to Sue from the EEOC, within 90 days after the EEOC issues that Notice; or (b) for all other lawsuits, within (i) 180 days of the event(s) giving rise to the claim, or (ii) the time limit specified by statute, whichever is shorter.  I waive any statute of limitations that exceeds this time limit.
4.Authorization to Work:  If I am selected for hire, I agree to certify and produce documentation that I am authorized to work as required by the Immigration Reform and Control Act of 1986.
5.Need for Accommodation:  If, due to a physical or mental disability, I need an accommodation to perform the job for which I may be selected, I understand that I must notify Autocam of this need.  Failure to do so in writing within 182 days after I know or reasonably should have known that an accommodation is needed may bar me from alleging that Autocam has not accommodated me as required by law.
6.Drug Testing: I agree to provide Autocam with appropriate specimens to test for the presence of drugs or other controlled substances.  I understand that decisions concerning my employment will be made as a result of these tests.
7.Physical Exam and Release of Medical Information: I understand that any job offer will be conditioned on passing a physical exam.  I authorize every medical doctor, physician or other health care provider (HCP) to provide any and all information, including but not limited to medical reports, laboratory reports, X-rays or clinical abstracts relating to my previous health history or employment in connection with any examination, consultation, test or evaluation.  I will cooperate in obtaining any additional authorization required by any HCP for release of any information.  I hereby release every HCP and every other person, firm, officer, corporation, association, organization or institution which shall comply with the authorization or request made in this respect from any and all liability for disclosure made pursuant to my authorization.  I understand that medical information will not be requested from me, my physician or other HCP until a job offer has been made.
8.Authorization and Waiver:  I authorize all employers and educational institutions where I am or have been employed or enrolled, and all law enforcement agencies, to disclose to Autocam any and all information in their possession about my employment history (including disciplinary and other matters), personal background, and/or credit background.  I hereby waive written or other notices from all such parties of their release of any such information to Autocam.  I further authorize all educational institutions I have attended to disclose to Autocam any and all information in their possession regarding my attendance and performance at such institution, including but not limited to: disclosure of any diploma or degree of certification awarded; disclosure of academic information and transcripts; and disclosure of any disciplinary record.  I hereby waive written or other notice from such institution of its release of any such information to Autocam.  I release all my prior employers and educational institutions, and all law enforcement agencies, from any liability or claim relating to the release of information, records or opinions to Autocam, or to any employment decisions made by Autocam as a result thereof.
9.Consideration for Employment:  I agree to the above terms.  Should I be employed, I understand and agree that these provisions of my employment can be revised only by a contract signed by both Autocam and me and authorized by a written resolution of Autocam, and that no person in Autocam has any authority to offer employment other than on an at-will basis as described above.  I understand and agree that, except as provided above, all compensation, benefits, programs, rules, and policies of Autocam are subject to exception or change at any time as decided by Autocam in its sole discretion.
I understand that I may take this application form with me to submit at a later time if I choose to do so.  I acknowledge by my signature that I have been given adequate time to read, complete, and review my application and this certification, and I have knowingly and voluntarily signed below.

I have read and understand the items listed in the Application for Employment, including this page, and acknowledge that checking the box below constitutes my electronic signature.

Maintenance Technician – Kentwood

PERSONAL INFORMATION

EDUCATION, SPECIAL INTERESTS, QUALIFICATIONS (ALL QUESTIONS REQUIRED)

EMPLOYMENT HISTORY

RESUME UPLOAD (OPTIONAL)