New Employment Application

Employment Application: Surveillance Investigator (Fresno, CA)

VRC and its subsidiary companies will provide equal employment opportunities to all applicants without regard to an applicant’s race, color, religion, sex, gender, genetic information, national origin, age, veteran status, disability, or any other status protected by federal or state law. VRC will provide reasonable accommodations to allow an applicant to participate in the hiring process (e.g., accommodations for a test or job interview) if so requested. When completing this application, you may exclude information that would disclose or otherwise reference your race, religion, age, sex, genetic information, veteran status, disability, or any other status protected by federal or state law. This application is considered current for sixty (60) days only. At the end of this period, if you are still interested in employment, it will be necessary for you to reapply by completing a new application.

THIS APPLICATION DOES NOT CREATE A CONTRACT OF EMPLOYMENT NOR DOES IT GUARANTEE EMPLOYMENT WITH VERACITY RESEARCH CO.

Applicant

First Name:

Last Name:

Address:

Address(cont):

City:

State: Zip Code:

Home Number:

Cell Number:

Email:

Referral

If you were referred by someone working for VRC please enter their name, otherwise enter where you found out about this position

Referred By:

Employment Experience

Please provide a complete employment history listing all positions held for the last 10 years, starting with the most recent employer. Please account for any periods of unemployment. You may include any verified work performed as a volunteer.

If applying for a position in California; San Francisco, CA; Connecticut; Delaware; Hawaii; Massachusetts; Oregon; Vermont, Albany County, NY, New York City, NY; Suffolk County, NY; Westchester County, NY; or Philadelphia, PA, do not disclose salary information, including Base Salary Starting, Base Bay/Hourly Rate, and Ending or Current Salary. Please leave the section blank or insert N/A. If additional space is needed please click the add another button. Please include this information on your resume.

Previous Employer:

Employer:

Address:

City:

State:

Supervisor:

Your Title:

Employment Dates:

From:

To:

Reason For Leaving:

Starting Salary:

Ending Salary:

Job Description:

**A Note About Various State Laws**

State/city law applies to you as an applicant if: (a) you are applying to an ABC location within that state/city OR (b) you are currently residing within that state/city.

Criminal Background Information

If you are currently residing in or applying for jobs in CA; CT; D.C.; HI; IL; MA; OR; RI; WA; Buffalo, NY; Columbia, MO; or Kansas City, MO or you are applying for a job in MN; NJ; VT; Austin, TX; Baltimore, MD; City of Los Angeles, CA; Montgomery County, MD; Portland, OR; Prince George’s County, MD; Rochester, NY; San Francisco, CA; Seattle, WA; or Westchester County, NY, the below question should not be answered with a "yes" or "no" but instead with "I currently reside in or am applying for job positions in CA; CT, D.C.; HI; IL; MA; OR; RI; WA; Buffalo, NY; Columbia, MO; or Kansas City, MO or I am applying for a job in MN; NJ; Austin, TX; Baltimore, MD; Montgomery County, MD; Portland, OR; Prince George’s County, MD; Rochester, NY; San Francisco, CA; Seattle, WA; or Westchester County, NY, and therefore am not required to answer the question on this application and for that reason am checking this box."

In responding to the question below, AK, AL, AR, CA, CT, DE, IL, IN, KS, KY, LA, MA, MD, ME, MO, MI, MN, MS, NC, NH, NV, NJ, OH, OK, RI, SC, VA, and WA applicants are not required to disclose the existence of any conviction which has been annulled, erased, sealed, expunged, or otherwise eradicated by state or court order. If your criminal records have been erased or expunged in accordance with state or federal law, you are deemed to have never been arrested with respect to those proceedings. Applicants residing in AL, CA, IL, IN, ME, MI, NE, NY, NV, NH, NC, OH, OK, OR, TX, UT, VT, VA, WA, WV, WY are not required to disclose the existence of any juvenile conviction which has been annulled, erased, sealed, expunged, or otherwise eradicated by state or court order.

CA applicants: Under California law, an employer is prohibited from making written, pre-employment inquiries of an applicant about his or her criminal history. Applicants are not required to disclose misdemeanor convictions involving marijuana or controlled substances as described in CA Labor Code § 432.8 that are more than two years old, and misdemeanor convictions for which probation has been successfully completed or discharged and that have been judicially dismissed. Applicants are not required to disclose any juvenile criminal history.

CA (San Francisco applicants): Applicants are not required to disclose felonies or misdemeanor convictions that are older than seven (7) years from the date of sentencing. Employers are prohibited from inquiring about convictions that arose out of conduct that has been decriminalized since the date of sentencing, including convictions related to the use or growing of marijuana.

CT applicants: Applicants are not required to disclose any conviction that has been erased pursuant to § 46(b)-146, 54-76(o) or 54-142(a) of the CT General Statutes. Criminal records subject to erasure are records pertaining to a finding of delinquency or that a child was a member of a family with service needs, an adjudication as a youthful offender, a criminal charge for which the person has been found not guilty, or a conviction for which the person received an absolute pardon. Any person whose criminal records have been erased shall be deemed to have never been arrested within the meaning of the general statutes with respect to the proceedings so erased and may so swear under oath.

GA applicants: Applicants may exclude convictions discharged under Georgia’s First Offender Programs.

MA applicants: Under Massachusetts law, an employer is prohibited from making written, pre-employment inquiries of an applicant about his or her criminal history. Massachusetts applicants should not respond to any question seeking criminal record information. After the application stage, applicants may omit from disclosing (i) an arrest for which no conviction resulted; or (ii) a first conviction for drunkenness, simple assault, speeding, affray, minor traffic violations, or disturbances of the peace. Applicants are also only required to disclose misdemeanor convictions occurring within three (3) years preceding the date of this application, unless the applicant has been convicted of any offense within the past three (3) years. An applicant for employment with a record expunged pursuant to section 100F, section 100G, section 100H or section 100K of chapter 276 may answer ‘no record’ to an inquiry herein relative to prior arrests, criminal court appearances, juvenile court appearances, adjudications or convictions.

NV applicants: Applicants are not required to disclose misdemeanor convictions older than 10 years.

NY applicants: Applicants for job positions may exclude an adjudication as a youthful offender.

OH applicants: Applicants with a conviction for a minor misdemeanor violation involving marijuana does not constitute a criminal record and does not need to be reported by the person so convicted in responding to the questions on this application.

PA (Philadelphia applicants): Applicants should not disclose any juvenile convictions.

WA applicants: Applicants are not required to disclose felony or misdemeanor convictions older than 10 years.

A criminal conviction is not an automatic or absolute bar to employment, and while convictions will be considered based on the time and nature of the offense and as related to jobs applied for, applicants should answer the following question.

An applicant that resides in or is applying for positions in the states/counties/cities that prohibit employers from asking the criminal question on the application will not be adversely impacted by checking the third box below in response to the criminal background question.

Please answer all questions

Have you ever been convicted of or plead no contest to a felony or misdemeanor (other than a minor traffic violation)?

Yes

I currently reside in or am applying for job positions in CA; CT; D.C.; HI; IL; MA; OR; RI; WA; Buffalo, NY; Columbia, MO; or Kansas City, MO or I am applying for a job in MN; NJ; VT; Austin, TX; Baltimore, MD; City of Los Angeles, CA; Montgomery County, MD; Portland, OR; Prince George’s County, MD; Rochester, NY; San Francisco, CA; Seattle, WA; or Westchester County, NY, and therefore am not required to answer the question on this application and for that reason am checking this box.

If YES, please describe the circumstances of your conviction, including the date, nature, place of the offense, and disposition of the case:

Authorization for Release of Information

I certify that the answers given to the questions and the statements made (including statements on the attached resume, and inserted forms, if any) on this application and in the hiring process are true. I understand that a false statement, a false answer, an omission, or a misleading statement may result in a decision not to hire me, the withdrawal of any offer of employment, or the termination of my employment with VERACITY RESEARCH CO. regardless of when such false, misleading, or erroneous information is discovered.

I understand that if hired, unless I am employed under a specific written contract or collective bargaining agreement, my employment with VERACITY RESEARCH CO. will be "at will" and that my employment may be terminated at any time with or without cause and with or without notice. I understand that no representative of the Company has any authority to make any assurances, representations or promises contrary to the "at-will" nature of my employment unless it is in writing signed by an authorized officer of VERACITY RESEARCH CO. I understand that I may terminate my employment with or without cause and with or without notice at any time. I further agree that VERACITY RESEARCH CO. reserves the right to make unilateral changes to the terms and conditions of my employment.

I authorize VERACITY RESEARCH CO. or its agents to investigate my references and communicate with my former employers concerning my employment unless specifically stated otherwise in this application. I authorize all individuals, schools, and employers named, and all financial institutions, law enforcement agencies, and all persons except as specifically limited on this application to provide information requested about me, and I promise I will not bring any legal claims or actions against my current or former employers due to their responses to any job reference request.

I further understand that the completion of an application with VERACITY RESEARCH CO. is a preliminary step to employment. It does not obligate VERACITY RESEARCH CO. to offer employment to me, or for me to accept employment. I further acknowledge that if offered employment, any offer of employment may be a conditional offer of employment pending successful completion of a drug screening and/or criminal background check. Any consideration of the background check will be tailored to the requirements of the job.

FOR CALIFORNIA APPLICANTS: I RECOGNIZE THAT I MAY WAIVE MY RIGHT TO RECEIVE A COPY OF ANY PUBLIC RECORD OBTAINED BY THE COMPANY WHEN CONDUCTING A BACKGROUND INVESTIGATION OF ME PER THE REQUIREMENTS OF CALIFORNIA’S INVESTIGATIVE CONSUMER REPORTING AGENCIES ACT (CALIFORNIA CIVIL CODE § 1786, ET SEQ.). I MAY WAIVE MY RIGHT BY CHECKING THIS BOX:  I DO NOT WISH TO RECEIVE A COPY OF ANY PUBLIC RECORDS OBTAINED BY THE COMPANY ABOUT ME THROUGH NON-ICRA SOURCES.

FOR MARYLAND APPLICANTS: UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.

FOR MASSACHUSETTS APPLICANTS: IT IS UNLAWFUL IN MASSACHUSETTS TO REQUIRE OR ADMINISTER A LIE DETECTOR TEST AS A CONDITION OF EMPLOYMENT OR CONTINUED EMPLOYMENT. AN EMPLOYER WHO VIOLATES THIS LAW SHALL BE SUBJECT TO CRIMINAL PENALTIES AND CIVIL LIABILITY. VERACITY RESEARCH CO. DOES NOT USE LIE DETECTOR TESTS AS PART OF THE APPLICATION PROCESS.

FOR MONTANA APPLICANTS: THE EMPLOYMENT RELATIONSHIP IS GOVERNED BY THE WRONGFUL DISCHARGE FROM EMPLOYMENT ACT. MONT. CODE ANN. § 39-2-901.

FOR RHODE ISLAND APPLICANTS: IF YOU PROVIDE FALSE INFORMATION ABOUT YOUR ABILITY TO PERFORM THE ESSENTIAL FUNCTIONS OF THE JOB, WITH OR WITHOUT ACCOMMODATIONS, YOU MAY BE BARRED FROM FILING A CLAIM UNDER THE PROVISIONS OF THE WORKERS’ COMPENSATION ACT OF THE STATE OF RHODE ISLAND.

I authorize the release of information

Electronic Signature Disclosure and Consent

Consumer Disclosure Regarding Conducting Business Electronically, Receiving Electronic Notices and Disclosures and Signing Documents Electronically:

This Electronic Signature Disclosure and Consent ("Consent") sets forth the terms and conditions governing my consent to sign documents electronically. This Consent applies to all electronic materials, both current and future, related to your application for or possible employment with Veracity Research. If hired, this Consent will continue to apply.

I may decline to electronically receive or sign any document by notifying the company.

To access electronic materials, you must have (a) a personal computer or mobile device and an operating system capable of receiving, accessing, displaying, and either printing or storing information, (b) an Internet connection, and (c) Internet Browser Software such as Internet Explorer®, Google Chrome®, Safari®, or Firefox®. Your Internet Browser Software must support 128-bit encryption and Secure Sockets Layer (SSL) protocol. If you are able to see this Consent, your hardware and software should allow you to access relevant electronic materials.

To retain any electronic materials, you may either print or download them. To print materials on your computer, you will need a printer connected to your computer with adequate paper. To download materials on your computer, you will need an available storage medium, like a hard drive on your computer or a removable thumb drive. To print materials on your mobile device, you will need a printer linked with your device (e.g., via Wi-Fi, Bluetooth®, etc.) and/or an application (app) that allows for printing. To store materials on your mobile device you will need (1) sufficient storage space on your mobile device and (2) an app or function that allows for the capture of electronic data (e.g., a screenshot). Please follow the instructions for your particular computer operating system and/or software to print and/or to download materials. Each individual screen may need to be printed and/or downloaded separately. If you have trouble printing and/or downloading, please contact the manufacturer of your personal computer or mobile device, computer operating system, web browser, app, or other relevant software or another information source of your choosing.

By using the system, I confirm that I have the required hardware and software to use the system, including viewing, downloading, printing and electronically receiving such documents.

At any time, I may contact the company and request a paper copy of any document signed electronically through the system, at no cost.

You may withdraw your consent to receive, review, access, sign, and authenticate any additional electronic materials at any time by canceling this Consent. You may cancel this Consent and withdraw your consent now by not completing this Consent and exiting the system. You may cancel this Consent and withdraw your consent in the future by sending a written cancellation request to Veracity Research Co. at recruiting@vrcinvestigations.com. Any withdrawal of your consent will be effective after a reasonable period of time in order for Veracity Research Co. to process your withdrawal. Withdrawal of your consent will have no legal effect on the validity, effectiveness, or enforceability of (a) any authorization, consent, or e-signature provided by you prior to the effective date of your withdrawal or (b) any document, form, letter, etc. that was provided or made available to you in electronic format prior to the effective date of your withdrawal. Withdrawal of your consent also will not relieve you from the obligation to complete all required materials. Withdrawal/canceling will require you to receive, review, access, sign, and authenticate materials in hard copy instead of electronically. Receiving, reviewing, accessing, signing, and authenticating certain materials in either electronic or hard copy is a condition of initial and/or continued employment. There are no fees associated with withdrawing consent.

You must update Veracity Research Co. regarding the information necessary to contact you electronically (including your personal email address) by emailing at recruiting@vrcivestigations.com. If you are employed, Veracity Research Co. may electronically send electronic materials to your company email address or your personal email address, in its discretion.

Effect of My Consent

By agreeing to this Consent, I understand that (i) electronically receiving, signing, and/or submitting any document(s) to Veracity Research Co. legally binds me in the same manner as if I had signed in a non-electronic form, and (ii) the electronically stored copy of my signature, any written instruction or authorization and any other document provided to me by Veracity Research Co., is considered to be the true, accurate and complete record, legally enforceable in any proceeding to the same extent as if such documents were originally generated and maintained in printed form. I agree not to contest the admissibility or enforceability of Veracity Research Co.’s electronically stored copy of this Consent and any other documents.

By "Entering your name" below, I agree to the terms and conditions of this Consent. Electronic Signature Please electronically sign by entering your full name to continue.

First & Last Name:

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High School
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Employment Application: Surveillance Investigator (Fresno, CA)

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