EMPLOYMENT APPLICATION


Applications are considered without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-job related medical condition or handicap.


PERSONAL INFORMATION:

EMPLOYMENT ELIGIBILITY:

To be Employed by BZ-Resources, you must meet certain state and federal employment eligibility requirements. These include (but are not limited to) United States citizenship or authorization to work in this country, and no felony convictions (for some of the jobs). Please answer the following questions.





EDUCATION:

EMPLOYMENT/ WORK EXPERIENCE:

Start with your present or most recent position. Include military, service assignments and volunteer activities. Excluded organization names that indicate race, color, religion, sex or national origin.


MILITARY SERVICE

( A copy of a report of separation from the Armed Services may be required)


PERSONAL REFERENCES:

Please provide names, addresses, phone numbers, and relationship and how long known for 3 personal references.

EMERGENCY CONTACT


LICENSING/CERTIFICATION: If a license or certification is required or related to the position for which you are applying, complete the following:

I AUTHORIZE any of the persons or organizations referenced in this application to give you any and all information concerning my previous employment, education, or any other information they may have, personal or otherwise, with regard to any of the subjects covered by this application, and I release such parties from all liability from any damages which may result from furnishing such information to you, BZ-Resources.

By Signing below I confirm my authorization from the statement above:

I CERTIFY that the above answers are true and complete to the best of my knowledge, I authorize _ BZ-Resources
To investigate any statement contained in this application, and to obtain a credit report on me (and my company if this application is for reselling by a company) as necessary to determine my qualifications. I understand that this application is not and is not intended to be any kind of contract or agreement. In the event of employment. I understand that any false or misleading information given in my application, correspondence, discussions or interview my result in refusal to hire or immediate termination, if hire I understand also, That I am required to abide all rules, regulations and policies of
BZ-Resources, and I recognize that any false information given by me the applicant will be a term for termination. My signature below certifies the statement made above.

For Office USE ONLY:

“ AT WILL POLICY” AND AGRTEEMENT”

Your employment with the Company, BZ-Resources, is on an “at-will” basis. This means your employment maybe terminated at anytime, with or without notice and with or without cause. Likewise, we respect your right to leave the company.

Nothing in the employee handbook or any other Company document should be understood as creating guaranteed or continued employment, a right to termination only “ for cause, “ or of any other guarantee of continued benefits. Any premises creating guaranteed or continued employment, a right to termination only “ for cause “ or of any other guarantee for continued benefits must be specifically in writing by an agent of the Company who is authorized to do so.

I acknowledge and understand the: at-will “nature of my relationship with the Company.

BZ-Resources

ACKNOWLEDGEMENT OF Voluntarily RECEIVING
EMPLOYMENT ARBITRATION RULES AND MEDIATION PROCEDURES

Please complete and sign the following / por Favor complete y firme lo siguiente:

( Print full Name / Imprima con letra de Molde su nombre Completo )

here by acknowledge the receipt of the American Arbitration Association, Employment Arbitration Rules and Mediation Procedures” Is voluntarily accepted by me the applicant and recognize that it is not a basis for employment. In addition I understand that If I have any questions or need additional copy of the rules, I may request this form to the Human Department that has agree to assist me.

CRIMINAL HISTORY CHECK CONSENT FORM

here by authorize BZ-Resources to obtain information pertaining to any charges and/or convictions I may have had for violation of municipal, country, state or federal laws. This information will include, but no to be limited to, allegations regarding and convictions for crimes committed upon minors and will be gathered from any enforcement agency of this state or any state or federal government, or from third-party providers of information originally obtained from law enforcement or court records.

I understand that I will be given an opportunity to challenge the accuracy of any information received that appears to implicate me in criminal activities. To facilitate this challenge, I will be told the nature of the information and the agency from which it was obtained. It will be my responsibility to contact that agency. I further understand that until Solemnity Personnel receives notification from that agency clearing me, my application will be deferred.

As an applicant for a BZ-Resources position. I hereby attest to the truthfulness of the representations I have made. Except as I have disclosed, I have not been found guilty of, or entered or guilty to any offense similar to those listed on the application. Further, other than for the offenses I have disclosed, I have not had a finding of delinquency or guilty to a petition of delinquency under the juvenile laws of this state or of any other state for any acts similar in nature to those listed on the application.

I further attest that I have not been judicially determined have committed abuse or neglect of a child; nor do I have a confirmed report of child abuse or neglect or exploitation which has been uncontested or upheld administratively under the law of this or any other state.

I understand that I must truthful and, if any statement I have made is found to be false, I will be denied by BZ-Resources or, If already employed, terminate from my BZ-Resources position.

DRUG TESTING POLICY DISCLOSURE AND CONSENT FORM POLICY

All new employees will be hired subject to passing a drug test prior to the date of employment. Any applicant who tests positive for illegal use of drugs will not be hired.

Any applicant who refuses to submit to a drug test or who interferes with the test will not be hired.

An applicant who has received a tentative job commitment from BZ-Resources will have the opportunity, prior to testing at the lab, to list all prescriptions and non-prescription drugs used and their purpose during the last 30 days.

Applicants subject to testing must sign, prior for testing, an approved form consenting to the testing, and approved form consenting to the testing and consenting to the release of test results to the designated official. Applicants will also be tested at random during its course of employment with BZ-Resources. Applicant also understands that they must be submitted to a drug test every post incident, accident, or post injury.

The applicant acknowledges that the company BZ-Resources will be given the drug test results and release all HIPPA rights to the Company BZ-Resources in regards to review all test results and medical records.

CONSENT FORM

AS AN APPLICAN FOR A POSITION OF EMPLOYMENT WITH BZ-Resources, I HEREBY CONSENT TO A DRUG TEST (Urine, Suave, or Blood) FOR THE PRESENCE OF ILLEGALLY USED SUBSTANCES IN MY BODY. I UNDERSTAND THAT SHOULD THE PRESENCE OF ANY ILLEGALLY USED SUBSTANCES IN MY BODY. I UNDESTAND THAT SHOULD THE PRESENCE OF ANY ILLEGALLY USED SUBSTANCE BE DETECTED AND CONFIRMED, I WILL NOT BE HIRED. I ALSO UNDESTAND THAT SHOULD I REFUSE TO BE TESTED IN ACCORDANCE WITH THE ABOVE POLICY OR IF I INTERFERE WITH THE TEST, I WILL NOT TO BE HIRED.

I ALSO CONSENT TO THE RELEASE OF THESE TEST RESULTS TO A DESIGNATED COMPANY OFFICAL, AND AGREE TO HOLD BZ-Resources HARMLESS FROM ANY SUCH RELEASES PROVIDED FOR HEREBY.

BZ-Resources

hereinafter “Employee” ) and BZ-Resources, and any of BZ-Resources corporate affiliates, subsidiaries, successors, assigns, officers, or directors, hereinafter ( “BZ-Resources” ) ( “Collectively, the Parties” ) unless otherwise agreed to in writing. The parties agree that the mutual promises contained herein are good and sufficient consideration to support This Agreement.

1.- Agreement to Arbitrate: Employee agrees to Arbitrate and resolve any dispute, claim, or controversy (“Claims”) he or she has, or may have in the future, against BZ-Resources. In exchange Solemnity Personnel. In exchange, BZ-Resources also agrees to arbitrate any claims they have in the future, against employee. The parties agree that this agreement applies to any claim that occurred before or after this agreement took effect, Employee agrees and understands that the consideration for this Agreement is the mutual obligation arbitrates between BZ-Resources Employee, in addition to employee‟s employment, or continued employment, with BZ-Resources. The parties agree That nothing in this agreement shall be deemed to alter or modify BZ-Resources policy of at-will employment,

2.-Disputes Covered: Claims include all disputes not prohibited by law from arbitration, including statutory and common law claims, whether under state, federal, or local law. By way of example and not in limitation on the foregoing, Claims shall include (to the fullest extent permitted by law); theories arising from branch of implied or express contract; implied covenant of good faith and fair dealing, constructive discharge; wrongful discharge; negligence, gross negligence; defamation, false imprisonment; workers compensation relation; international infliction of emotional distress; misrepresentation; personal injury; wage and hour claims; claims arising from work-related, activities, unsafe workplace, unlawful discrimination, relation , or harassment, sexual harassment; violations of Title VII of the Civil Rights Act, as amended; California Fair Employment and Housing Act (FEHA); Age discrimination in employment Act (ADEA); Americans with Disabilities Act (ADA); Family and Medical Leave Act (FMLA); California Family Rights Act (CFRA); Fair labor Standards Act (FLSA); California Industrial Welfare Commission Wage Orders; or the California Labor Code; or any other dispute between the parties. Claims under the National Labor Relations Act are expressly not covered by this agreement.

3. –I the applicant understand that this arbitration agreement is being signed by my own will ,voluntarily, and I the applicant recognize that this arbitration agreement is not a basis nor used as a form for any requirement of being hired by the company.

My signature below confirms my voluntary acceptance of the arbitration agreement stated above.

NOTICE TO EMPLOYEE

Labor code Section 2810.5

EMPLOYEE

EMPLOYEER

Legal Name of Hiring Employer: BZ Resources Is hiring employer a Staffing Agency (BZ-Resources)/Business ( e.g, Temporary Services Agency; Employee leasing

If the Hiring employer is a Staffing Agency /business ( Above box checked “Yes”), the following is the other entity for whom this employee will perform work:

WAGE INFORMATION

(If the employee has signed the acknowledgment of receipt below, it does not constitute a „voluntary written agreement” as required under the law between the employer and employee in order to credit any meals or lodging against the minimum wage. Any such voluntary written agreement must be evidenced by a separate document.)

WORKERS’ COMPENSATION

PAID SICK LEAVE

Unless exempt, the employee identified on this notice is entitled to minimum requirement for paid sick leave under state law provides that an employee:

• May accrue paid sick leave and may request and use up 3 days or 24 hours of accrued paid sick leave per year;
• May not be terminated or retaliated against for using or requesting the use of accrued paid sick leave; and
• Has the right to file a complaint against an employer who retaliates or discriminates against an employee for
1. - requesting or using accrued sick days
2. - attempting to exercise the right to use accrued pay sick days;
3. - filling a complaint or alleging a violation of Article 1.5 section 245 et seq. of the California Labor code;
4.- cooperating in an investigation or prosecution of an alleged violation of this Article or opposing any policy or
Practice or act that is prohibited by Article 1.5 section 245 at seq. of the California Labor code.

The following Applies to the employee identified on this notice : ( Check one box )

ACKNOWLEDGEMENT OF RECEIPT
( Optional )

Labor Code section 2810.5 (b) requires that the employee notify in written of any changes to the information set forth in this Notice within seven calendar days after the time of the changes, unless one of the following applies: (a) All changes are reflected on a timely wage statement furnished in accordance with Labor Code section 226; (b) Notice of all changes is provided in another writing required by law within seven days of the changes.

CONTACT AFTER COMPLETION OF WORK ASSIGNMENT

After completion of work assignment, Employee hereby agrees to keep in constant contact with the Company ( at least once a week ) in order to notify the Company as to whether he or she are available to take on a new assignment.

Employee‟s failure to keep in constant contact with the Company (at least once a week) after completion of a work assignment may result in suspension of unemployment benefits, by the California Employment Development Department.
By signing below, Employee hereby states that he or she has read and fully understand this policy.

Video and Audio Surveillance

The applicant and employee acknowledge that there is video and audio surveillance at the company and at the clients site at all time. The applicant and employee give the client and the company consent to record at all times and gives consent for the company and clients to use such audio and video for investigation purposes and be used as evidence and by signing below the applicant and or employee gives the company BZ-Resources consent for the use of such materials.

BZ-Resources
PRE-APPLICATION

General Information

I the applicant understand that making false statements or omitting pertinent facts on this application is sufficient cause for rejection or dismissal for employment.

I understand the issuance of this application does not indicate there are any positions open and does not in any way obligate BZ-Resources to hire me.

I am willing to abide by all present and future rules and regulations of BZ-Resources and understand that my employment can be terminated without notice at any time at the option of either BZ-Resources or myself subject to applicable laws. I also understand that no representative from BZ-Resources has the authority to guarantee employment for any specific period of time. I declare all my answers and information on this application is true.

Release of Personal Information
I authorize BZ-Resources to collect, use, store, transfer, and purge the personal information I have provided exclusively for employment-related purposes.

Authorization and Release for Reference Check and Verification of Information
I authorize BZ-Resources to conduct work related references and personal reference checks verifying all sources provided on the pre-employment application and all related documents (in any form) ( application) and I release all parties from all liability resulting from the use of information that can be lawfully obtained.

Release for Background Screening.
I authorize BZ-Resources to verify any information that I provide in connection with my employment. I BZ-Resources, its Customers, its authorize representatives, and the consumer reporting agency from liability resulting from the use of background information that can be lawfully obtained about me for employment purposes.

Statement of Understanding
I certify That I am at least 18 years of age and that I have completed this Form to the best of my ability. I understand that false statements and/or omission on this application or hiring-related documents or during the interview, hiring or testing processes my lead to my ineligibility for and/or termination of employment.
I have read this agreement; I understand it, and I agree to its terms.