APPLICANT’S AGREEMENT

“I understand and agree that, if I am employed by the Licking County Aging Program, (hereinafter called “Agency” my employment is entirely “at will,” which means neither are guaranteed for any definite period of time, and that my employment can be modified or terminated, with or without cause, and regardless of the date of payment of my wages and salary, and with or without prior notice at any time, at the option of either the Agency or myself. I understand and agree that the Agency reserves the right to establish and/or change any of the terms or conditions of any aspect of my employment, including my compensation, at its discretion at any time with or without notice. I understand and agree that no other oral or written agreements of any kind pertaining to the terms of my employment and/or my compensation exist outside of this Agreement, and if I believe that any such previous agreements between any Agency representative and myself have been made, I agree they are superseded by the contents of this Agreement. I understand and agree that no representative of the Agency, other than the Executive Director or the Board of Directors as a whole, have any authority to enter into any other agreement with me or provide me with any assurances relating to any aspect of my employment with the Agency, except that the above-mentioned officials of the Agency may do so in writing, although the terms of that Agreement cannot contradict the contents of this one. The terms of this Agreement will supersede all others.

I understand that if I am offered employment by the Agency, and if I accept that offer, this document will serve as primary Agreement between the Agency, its representative and myself. I also agree that $1.00 of the wages I am paid when I report to work on my first day of employment will serve as sufficient consideration to bind this Agreement.

I authorize the Agency to investigate my background, qualifications and/or any other information from whomever it deems appropriate. I also authorize anyone the Agency contacts as part of its investigation to release any information they have regarding me or my employment to the Agency or its representatives. I also release all parties from all liability for any damage that may result from furnishing this information to the Agency. Further, I release the Agency from all liability for any information it might deem appropriate to lease regarding me and my employment in the future. 

I further agree to take any lawful medical examination, chemical, drug or alcohol test upon request by the Agency at its sole discretion as a condition of my employment, or, if I am hired, as a condition of my continued employment at any time as deemed appropriate by the Agency. I agree that my refusal to take any such examinations or tests immediately upon request may be cause for my not being hired or, if I am hired, may be cause for the immediate termination of my employment. I hereby release all persons or companies conducting such examinations from all liability.

I also certify that the facts contained in this application are true and complete to the best of my knowledge and understanding that if I am employed, any statements I have falsified on this Application shall be grounds for dismissal. I further certify that I have read all of the foregoing, understand the same and do hereby voluntarily agree to all of the provisions contained herein.”

READ CAREFULLY BEFORE SIGNING

"I agree that any claim or lawsuit relating to my service with Licking County Aging Program or any of its subsidiaries must be filed no more than six (6) months after the date of the employment action that is the subject of the claim or lawsuit. I waive any statute of limitations to the contrary."

If you are hired, this employment application will become part of your official employment record.

LICKING COUNTY AGING PROGRAM IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. IT IS THE PHILOSOPHY, INTENT, AND COMMITMENT OF LCAP TO ADHERE TO A POLICY OF EQUAL EMPLOYMENT OPPORTUNITIES FOR ALL APPLICANTS AND EMPLOYEES WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, AGE, ANCESTRY, NATIONAL ORIGIN, VETERAN STATUS, MENTAL OR PHYSICAL DISABILITY OR ANY OTHER STATUS PROTECTED BY LAW.

When completing this application, do not leave any questions blank. Do not substitute “see resume”

for any requested information. Applications will be accepted for posted job openings only.

THIS APPLICATION WILL REMAIN ACTIVE FOR THREE (3) MONTHS UPON SIGNING.