PLEASE READ CAREFULLY AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION.
I certify that the information on this application and its supporting documents is accurate and complete. I understand and agree that failure to fully
complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after
employment if discovered at a later date. I authorize A to Z Building Blocks to investigate, without liability, all statements contained in this
application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection
with this application for employment. If requested, I agree to submit to a criminal and credit background investigation, and/or screening
for illegal substances upon conditional offer of employment. I understand that this document is NOT an offer of employment, and that an offer of
employment, if offered, does NOT constitute a contract for continued guaranteed employment. I understand that staff employees of A to Z Building Blocks
serve at-will, and the employment relationship may be terminated at any time by either party, for any or no reason, other than a reason prohibited by law.
If employed, I will be required to furnish proof of eligibility to work in the United States, to file a State security questionnaire and State loyalty oath, and to
comply with company and departmental regulations. I understand that if employed on a temporary basis, I would be paid for hours worked only.
I understand that the first SIX MONTHS of regular employment represent a provisional period.