Release and Disclaimer from Drug Testing I hereby voluntarily agree to submit to any lawful drug test requested and conducted by Rader Foods Inc. (Company) which the Company deems, in its sole discretion, to be reasonably necessary to provide its workers with a safe working environment. I acknowledge that in the course of my employment, and as a prerequisite of employment with the Company, may be asked to submit to a random drug test and provide a urine, blood or breath sample as part of a substance abuse screening test. I hereby consent to such tests and also agree to allow the Company the right to make lawful searches of my work area and vehicle while on company property, and other lawful surveillance activities, in an effort to keep the workplace drug free. I authorize that the results of any drug test e communicated and disclosed to third parties. As a consequence of any positive result obtained by said test, I understand that I may not be offered a job with the Company or may be disciplined leading up or including immediate discharge if currently employed by Rader Foods Inc. I hereby indemnify, release and forever discharge and hold Rader Foods Inc. and its subsidiaries and affiliated companies, agents and employees harmless from any and all claims, demands, judgments and legal fees arising out of or in connection with such tests, the results, or any lawful use of the results. Legal Name* Prefix First Last Suffix Present Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Signature*I have read this agreement and sign below:Social Security Number*Today's Date* Date Format: MM slash DD slash YYYY We are an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, gender, sexual orientation, national origin, citizenship, age, height, weight, or disability. We assure you that your opportunity for employment with us depends solely on your qualifications.EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
