FURTHERMORE:
I am aware that all statements submitted on this application are subject to investigation and verifi cation.
I authorize the persons, schools, law enforcement agencies and other organizations or employers named in this application to provide
information requested in the processing of this application.
I agree to provide, upon request, written releases and waivers of confidentiality should any former employer or school require such
a release.
I understand that any withholding of information or misrepresentation on this application or on IMU medical forms could result in
rejection for employment, or if employed, termination from employment.
I understand any offer of employment is conditional upon successfully completing a physical which includes a drug screening.
If employed, I understand that I am required to abide by all rules and regulations as indicated in the Personnel Management Guide
and/or applicable Union Contract and Employee Handbook.
If I am hired, I understand that I may resign at anytime, with or without cause and without prior notice, and Indianola Municipal
Utilities (IMU) reserves the same right to terminate my employment at any time, with or without cause and without prior notice,
except as may be required by law. This application does not constitute an agreement or contract for employment for any specified
period or definite duration. I understand that no representative of Indianola Municipal Utilities, other than an authorized officer,
has the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and
signed by an authorized officer.
This application is current for only 60 days. At the conclusion of this time, if I have not heard from Indianola Municipal Utilities
and still wish to be considered for employment, it will be necessary to fill out a new application.
I authorize IMU to conduct a driving record check if driving will be required in my position with IMU, and complete a criminal
check regarding my background and further authorize all governmental agencies, departments, bureaus or related entities to release
any and all information regarding my driving record and criminal history, if any, and also agree to prepare and sign any other form
necessary to complete a criminal background check. I understand that a conviction is not an automatic bar to employment, but that
IMU will consider the seriousness and nature of the crime, the date of the conviction, and the extent of any rehabilitation.
I understand IMU has the option of conducting a credit check on me. If such a check will be performed IMU will
provide me with written notice to comply with the Fair Credit Reporting Act. I agree to execute the appropriate
authorization if presented to me by IMU.
I represent and warrant that I have read and fully understand the foregoing, and seek employment under these conditions.