Application Acknowledgement and Consent

I authorize Deploy Solutions, Inc. to investigate all facts contained in my application for employment with said company, and authorize the release of any and all information by my present and past employers, wherever located, which may be required for a reference check. I further authorize all of my previous employers and current employer to give any and all information concerning my employment and any other pertinent information which said employers may have, personal or otherwise, and I release all parties from all liabilities for any damages which may result from the furnishing of said information.

I agree to read and understand the Deploy Solutions, Inc. Substance Abuse Policy and agree to be bound thereby for purposes of applying for, and, if offered, accepting employment at Deploy Solutions, Inc.


Specifically, I understand and agree to undergo substance (drug & alcohol) screening of my blood, urine, breath, saliva, or otherwise for purposes of assuming employment. I further understand and agree that, once employed, I will be subject to further substance screening or face disciplinary consequences, up to and including loss of employment. I hereby authorize any Deploy Solutions, Inc. employee, designed physician, laboratory, hospital or medical professional to conduct such screening and provide the results thereof to the Company, and I release any such designated institution of person from liability thereof.

A copy of this release shall be as valid as the original.

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