Careers with AirNow Cooling & Heating

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I certify that have not withheld any information that might adversely affect my chances for employment with AirNow and the information given by me is true and complete to the best of my knowledge. I understand that any omission or misstatement of information made orally, on this application or any other document used to secure employment, shall be grounds to disqualify me from employment or subject me to immediate dismissal if I am hired, regardless of the time elapsed before discovery. I hereby authorize AirNow to contact any school, employer, reference or organization listed on this application. I release all persons, schools, employers and other organizations of any and all claims for providing such information.

If hired, I understand and agree that I will be an at-will employee and that my employment may be terminated by either AirNow or me at any time without prior notice or any reason.

Digital Signature*

Date

EMPLOYEE AGREEMENT AND CONSENT TO DRUG AND/OR ALCOHOL TESTING

I hereby agree upon a request made under the drug/alcohol testing policy of AirNow to submit to a drug or alcohol test and to furnish a sample of my urine, breath, and/or blood for analysis.

I understand and agree that if I at any time refuse to submit to a drug or alcohol test under company policy, or if I otherwise fail to cooperate with the testing procedures, I will be subject to immediate termination. I further authorize and give full permission to have the Company and/or its company physician send the specimen or specimens so collected to a laboratory for a screening test for the presence of any prohibited substances under the policy, and for the laboratory or other testing facility to release any and all documentation relating to such test to the Company and/or to any governmental entity involved in a legal proceeding or investigation connected with the test. Finally, I authorize the Company to disclose any documentation relating to such test to any governmental entity involved in a legal proceeding or investigation connected with the test.

I understand that only duly-authorized Company officers, employees, and agents will have access to information furnished or obtained in connection with the test; that they will maintain and protest the confidentially of such information to the greatest extent possible ; and that they will share such information only to the extent necessary to employment decisions and to respond to inquire or notices from government entities.

I will hold harmless the Company, its company-physician, and any testing laboratory the Company might use meaning that I will not sue or hold responsible such parties for any alleged harm to me that might result from such testing, including loss of employment or any other kind of adverse job action that might arise as a result of the drug or alcohol test, even if a Company or laboratory representative makes an error in the administration or analysis of the test or the reporting of the results. I will further hold harmless the Company, its company physician and any testing laboratory the company might use for any alleged harm to time that might result from the release or use of information or documentation relating to the drug or alcohol test, as long as the release or use of the information is within the scope of this policy and the procedures as explained in the paragraph above.

This policy and authorization have been explained to me in a language I understand and I have been told that if I have any questions about the test or the policy, they will be answered.

Digital Signature*

Date*

Are you applying for a Commercial Driver Position?*

Yes
No

TO BE READ AND SIGNED BY COMMERCIALS DRIVER APPLICANT

I authorize you to make sure investigations and inquires to my personal employment financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquires regarding medical schools, health care providers and other persons from all liability in responding to inquires and releasing information in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of THE COMPANY.

“I understand that information I provide regarding current and/or previous employers may be used, and those employer(s)will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 291.23(d) and €. I understand that I have the right to:

Review information provided by current/previous employers
Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer and
Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I can not agree on the accuracy of the information.

Digital Signature*

Date*

Name

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