This application for employment shall be considered active for ninety (90) days. Any applicant wishing to be considered for employment beyond this time period should re-apply.

I, the undersigned, do hereby certify that the information provided by me for the purpose of employment is true and complete to the best of my knowledge. I understand that, if I am employed, any false statements will be considered as cause for possible dismissal.

I authorize Ana-Lab Corp. and any of its agents/designated Company Personnel, to disclose orally and in writing the results of this verification process and/or interview to the designated authorized representative of this Company.

I have read and understood this release and consent, and I authorize the background verification. I authorize persons, schools, current and former employers, and other organizations and Agencies to provide Ana-Lab Corp. with all information that may be requested and to conduct a verification of my motor vehicle records.

I do hereby agree to forever release and discharge Ana-Lab Corp. and their associates to the full extent permitted by law from any claims, damages, losses, liabilities, costs, and expenses, or any other charge or complaint filed with any agency arising from the retrieving and reporting of information.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization if of an “at-will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at-will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. I understand that I am required to abide by all the rules and regulations of the employer.

Your signature below verifies you have read the above notice and understand what it means.

Qualified applicants are considered for employment, and employees are treated during employment, without regard to race, color, religion, sex, national origin, age, marital status, veterans’ status, or disability. However, government agencies require periodic reports on the sex, ethnicity, disability, and veteran status of applicants. This data is for statistical analysis with respect to the success of the Affirmative Action program.

This survey is kept in a confidential file and not part of your application for employment or personnel file, should you be hired. No information contained in this survey is used in any way to discriminate in any employment practice.

Submission of this information is voluntary.

Vietnam Era Veteran
A person who served more than 180 days of active military, naval, or air service, any part of which was during the period of August 5, 1964, through May 7, 1975; and
i. Was discharged or released therefrom with other than dishonorable discharge, or
ii. Was discharged or released from active duty because of a service-connected disability.

Special Disabled Veteran
i. A veteran who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Department of Veteran Affairs for a disability.a. Rated at 30 percent or more orb. Rated at 10 or 20 percent in the case of a veteran who has been determined under section 1506 of Title 38, U.S.C. to have a serious employment disability, or
ii. A person who was discharged or released from active duty because of service-connected disability.