Please read each paragraph closely, initial each, and sign below
I hereby certify that I have not knowingly withheld any information that might adversely affect my
chances for employment and that the answers given by me are true and correct to the best of my
knowledge. I further certify that I, the undersigned applicant, have personally completed this
application. I understand that any omission or misstatement of material fact on this application or any
other document used to secure employment shall be grounds for rejection of this application or for
immediate discharge if I am employed, regardless of the time elapsed before discovery.
I hereby authorize The New Y-CAPP, Inc. to thoroughly investigate my references, work records,
education, driving record, credit history, criminal background and other matters related to my suitability
for employment. I further authorize the employers, schools and other references I have listed to
disclose to The New Y-CAPP, Inc. any and all documents, transcripts, letters, reports and other
information related to these references, without giving me prior notice of such disclosure. I hereby
release The New Y-CAPP, Inc., my former employers, and all other persons, corporations, partnerships
and associations from any and all claims, demands or liabilities arising out of or in any way related to
such investigation or disclosures.
I understand that nothing contained in the application, or conveyed during any interview which may be
granted, or during my employment, if hired, is intended to create an employment contract between me
and The New Y-CAPP, Inc., other than one that is “at will.” I understand and agree that if I am
employed, my employment will be of an “at will” nature, whereby either the employee or the employer
may terminate the employment relationship at any time, with or without cause or notice. I further
understand that my employment, if hired, is for no definite or determinable period of time and may be
terminated at any time, at the option of either myself or The New Y-CAPP, Inc., and that no promise or
representation contrary to the foregoing is binding on the company unless made in writing and signed
by me and the company’s designated representative.
The New Y-CAPP, Inc. is an equal employment opportunity employer. We adhere to a policy of making employment
decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age, or disability. We
assure you that your opportunity for employment with Paulus Orchards depends solely on your qualifications.