Premier Group: Application for Employment

Applicant's Statement:

The facts set forth in my application are true and complete. I understand that if employed, false statements on this application will be considered sufficient cause for dismissal. I hereby authorize or its agents to make an investigation of my employment and personal history through any investigative or credit agencies of its choice.

I understand and voluntarily agree, as a condition of employment or continued employment, that I may be requested by to submit a urinalysis, drug screen and/or other tests and that my failure to take such test(s) when requested to do so or unsatisfactory test results will disqualify me from consideration for employment, or if I am then employed, may result in my immediate dismissal. All prospective and current employees must be able to lift 40 pounds, roughly the equivalent of one case of wine.

I also understand that neither this application nor a commitment of employment by constitutes a contract of employment. If a contract is to exist, that document will be executed in writing by

I understand that I am to abide by all rules and regulations of .

Please enter your name and date below to confirm you understand the statement above.