Addiction Recovery Center
To: Project Turnabout Address: PO Box 116 City/State/Zip: Granite Falls, MN 56241 Phone: (320) 564-4911 Fax: (320) 564-3122
In consideration of the receipt and evaluation of my application for internship by:
PROJECT TURNABOUT I agree and represent that: I authorize any references, schools, current or former employers, current or former supervisors, or any other person or organization, whether or not identified in this application, to give your any information regarding my character and fitness for internship. I hereby release any individual, employer, reference, or any other person or organization, including record custodians, both collectively and individually, and whether identified in this application or not, from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply with this authorization. I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding release which I have read and understand.
Employees are treated during the hiring process and employment without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status. As an employer with an Affirmative Action Program, we comply with government regulations, including Affirmative Action responsibilities where they apply.
The purpose for this Data Record is to comply with government record keeping reporting and other legal requirements. Period reports are made to the government on the following information. The completion of the Data Record is optional. If you choose to volunteer the requested information, please note that all Data Records are kept in a Confidential File and are not a part of your Application for Employment or personnel file. Please note:
YOUR COOPERATION IS VOLUNTARY. Inclusion or exclusion of any data will not affect any employment decision.
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