The Washtenaw County Road Commission (WCRC) has an Affirmative Action policy committing itself to a course of Equal Employment Opportunity. In conjunction with this policy, we maintain a collection of statistics of all applicants applying for positions with WCRC, as well as, employees with WCRC when hired. Qualified applicants are considered for all positions and are treated during employment without regard to race, religion, creed, national origin, ancestry, color, height, weight, sex, political beliefs, organization affiliations, age, handicap, veteran disability, or veterans of the Vietnam Era.

As an employer, we comply with government regulations and affirmative action responsibilities. Government agencies require periodic reports on the sex, ethnicity, disability, and veteran status of applicants. This data is for statistical use only, for analysis, affirmative action and periodic government reporting. Submission of information is voluntary. Refusal to provide this data will not subject you to adverse treatment.

CERTIFICATION OF TRUTHFULNESS

I certify that all statements on this Application for Employment are made truthfully and without evasion, and further understand and agree that such statements may be investigated and if found to be false will be sufficient reason for not being employed or if employed will result in my dismissal. AUTHORIZATION FOR EMPLOYMENT EDUCATIONAL INFORMATION I authorize the references listed in the Application for Employment, and any prior employer, educational institution, or any other persons or organizations to give the Washtenaw County Road Commission any and all information, or any other pertinent information, they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing any lawful information to the Washtenaw County Road Commission. I hereby waive written notice that employment information is being provided by any person or organization.

EMPLOYMENT

If I am hired, in consideration of my employment, I agree to be bound by the rules and policies of Washtenaw County Road Commission, including any change made from time to time, and agree that, subject to the provisions of any written agreement to the contrary, my employment and compensation can be terminated with or without cause, and with or without notice, at any time, at the option of either the Washtenaw County Road Commission, other than the Managing Director, has any authority to enter into any agreement for employment for any specific or indefinite period of time, or to make any agreement contrary to the foregoing. Any such agreement made by the Managing Director must be made in writing to be effective.

AUTHORIZATION TO WORK

If I am selected for hire, I will be offered employment provided I verify that I am authorized to work as required by the Immigration Reform and Control Act of 1986.

NEED FOR ACCOMMODATION

If I am a person with a disability who requires an accommodation to perform the job, I must notify the Washtenaw County Road Commission of that need within 182 days after I knew or reasonably should have known that an accommodation was needed. Failure to do so will bar me under state but not federal law from alleging that the Washtenaw County Road Commission has not accommodated me as required by law.

CRIMINAL RECORDS CHECK

I agree to execute an authorization for the Washtenaw County Road Commission to secure criminal conviction history from the appropriate law enforcement agency should the Washtenaw County Road Commission determine it is necessary to do so.

RELEASE OF MEDICAL INFORMATION

I authorize every medical doctor, physician or other healthcare provider to provide any and all information, including but not limited to, all medical reports, laboratory reports, x-rays or clinical abstracts relating to my previous health history or employment in connection with any examination, consultation, test or evaluation. I hereby release every medical doctor, healthcare personnel and every other person, firm, officer, corporation, association, organization or institute which shall comply with the authorization or request made in this respect from any and all liability. I understand that this release will not be sent to my physician or other healthcare provider until a job offer has been made.

PHYSICAL EXAM AND DRUG AND ALCOHOL TESTING

I agree that if a job offer is made to me I will, before commencing employment, take a physical exam and authorize the Washtenaw County Road Commission or its designated agent(s) to withdraw specimen(s) of my blood, urine or hair for chemical analysis. One purpose of this analysis is to determine or exclude the presence of alcohol, drugs or other substances. I understand that decisions concerning my employment will be made as a result of this test. I further authorize any physician or entity conducting such testing to release the results of such testing to the Washtenaw County Road Commission.

PSYCHOLOGICAL/PHYSICAL TESTING

If offered employment, I agree to submit to any psychological or physical testing which may be necessary to determine my ability to perform the job for which I am being considered. I further authorize any physician or entity conducting such medical examination to release the results of such examination to the Washtenaw County Road Commission.

PROTECTED DISABILITY

I also understand that if I have a protected disability that affects my ability to do the job I seek, I may ask the Washtenaw County Road Commission to attempt to make a reasonable accommodation for it. I must make my request in writing to the personnel department as soon as possible after the date I know that accommodation is needed.

DRIVING RECORD CHECK

If applying for a position that requires driving a Washtenaw County Road Commission vehicle, I authorize the Washtenaw County Road Commission and its agents the authority to make investigations and inquiries of my driving record.

FRINGE BENEFITS

In accepting employment with the Washtenaw County Road Commission, I agree to accept all fringe benefits when eligible as provided now or in the future. I understand that it is my responsibility to provide documentation for verification of eligibility for fringe benefits as well as information regarding mailing address, telephone numbers or contact arrangements, withholding exemptions and dependent information. The Washtenaw County Road Commission shall rely on the most recent information for all purposes.

CONSIDERATION OF EMPLOYMENT

I understand that my Application will be considered pursuant to the Washtenaw County Road Commission's normal procedures for a period of sixty (60) days. IF I AM STILL INTERESTED IN EMPLOYMENT THEREAFTER, I MUST REAPPLY.

By submitting this application, I affirm that I have read and agree to all of the disclosures and conditions included in the on-line application.