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I hereby authorize Glas Associates to verify all the information I have provided on my application. I also agree to execute, as a condition of employment, any additional written authorizations necessary for Glas Associates to obtain access to and copies of records pertaining to this information. I expressly authorize Glas Associates to contact prior employers and release those prior employers and Glas Associates from all liability arising from providing information about my employment history.
State and federal law requires Glas Associates to make reasonable accommodation of handicapped applicants and employees where the accommodation does not impose hardship on Glas Associates. Michigan law provides that employees and applicants may request an accommodation of their handicap by notifying Glas Associates in writing of the need for accommodation within 180 days of the date that the individual knows or should know that an accommodation is needed.
I certify that I can and will upon request, substantiate all statements made by me on this application, and that such statements are true, complete, and accurate to the best of my knowledge. I understand that a false statement, dishonest answer, misrepresentation, or omission of any answer will be sufficient grounds for rejection of my application, or my immediate discharge.
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GLAS ASSOCIATES | 6339 Stadium Drive | Kalamazoo, MI 49009 | 269.353.7737
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