I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and if I am employed, my employment may be terminated at any time.
In consideration of my employment, I agree to conform to Hillsboro’s rules and policies, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the City of Hillsboro’s option. I also understand and agree that the terms and condition of my employment may be changed, with ot without cause and with or without notice, at any time by the City of Hillsboro.
do hereby authorize a review of and full disclosure of all records, or any part there of, concerning myself, by and to any duly authorized agent of the City of Hillsboro, whether the said records are of public, private or confidential nature.
The intent of this authorization is to give for full complete disclosure of the records of educational institutions; financial or credit institutions, including records of deposits, withdrawals and balances of checking and savings accounts, and loans, and also the records of commercial or retail credit agencies (including credit reports and/or ratings); public utility companies; employment and pre-employment records, including background reports, efficiency ratings, complaints or grievances filed by or against me, and salary records; real and personal property tax statements and records, and other financial statements and records wherever filed; records of complaint, arrest, trail and/or convictions for alleged or actual violations of law, including criminal, civil and/or traffic records; the results of any polygraph examinations; records of complaint of a civil nature made by or against me, wheresoever located, and to include the records and recollections of attorneys at law, or of other counsel, whether representing me or another person in any case in which I presently have, or have had an interest.
I reiterate, and emphasize that the intent of this authorization is to provide full and free access to the background and history of my personal life, for the specific purpose of pursuing a background investigation which may provide pertinent data for the City of Hillsboro to consider in determining my suitability for employment. It is my specific intent to provide access to personal information, however personal or confidential it may appear to be, and the sources of information specifically identified herein.
I understand that any information obtained by a personal history background investigation which is developed directly or indirectly, in whole or in part, upon this release authorization will be considered in determining my suitability for employment by the City of Hillsboro. I understand that all materials pertaining to this background investigation become the property of the City of Hillsboro and will not be returned to me.
I agree to indemnify and hold harmless the person to whom this request is presented and his agents and employees, from and against all claims, damages, losses and expenses, including reasonable attorney’s fees, arising out of or by reason of complying with this request I further understand that in the event my application is disapproved, the sources of confidential information cannot be revealed to me.
A photocopy of this release form will be valid as an original hereof, even though the said photocopy does not contain an original writing of my signature.
***Your electronic signature below indicates your agreement with the following statements ***
By typing my name in the following box I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application and information