I understand that my appointment or employment will be contingent upon the results of a complete background investigation. I am aware that any omission, falsification, misstatement or misrepresentation will be the basis for my disqualification as an applicant or my dismissal from the Sheriffs Office. I agree to the conditions and certify that all statements made by me on this application are true, correct and complete, to the best of my knowledge. I further fully understand and consent to a polygraph examination concerning the veracity of my responses to the information requested on this application or which is discovered as a result of the background investigation, or any physical examination or drug test. I also understand that I will be fingerprinted. I understand that this employment application shall become the property of the Sheriffs Office and that it and the information received in response to the background examination are public records.
I further understand and agree that my employment or appointment will be contingent upon the results of a complete drug test and that I may be required to take drug tests during the term of my employment or appointment with the Sheriffs Office.
I understand that the use of drugs or alcohol is not permitted, during work or duty time, whether paid or unpaid, In the areas, inclµding vehicles. where work Is performed by employees or appointees.
I understand that my continued employment or appointment may be contingent upon the results of medical or psychological examinations that I may be required to take during the term of my employment or appointment and the maintenance of personal physical fitness, to the degree necessary, to satisfactorily perform the duties of my position or assignment with the Sheriffs Office.
I further authorize the Sheriffs Offce or agent of the Sheriff's Office, without need of further authorization, to obtain medical records allowed by law if I claim rights to payment or receipt of any benefit pursuant to state or federal law.
I further agree to execute any authorization as may be required by the Health Insurance Portability Accountability Act of 1996 (HIPAA) for health care providers to release the necessary medical information to process my application for employment.
I authorize any of the persons or organizations referenced In this application to furnish information, personal or otherwise, regarding my ability and fitness for employment or appointment with the Sheriffs Office and I release all such parties from any and all liability for any damage that might result from furnishing such information to the Sheriffs Office.
I agree to conform to the rules, regulations, and orders of the Sheriff's Office and acknowledge that these rules, regulations and orders may be changed, Interpreted, withdrawn or added to by the Sheriff's Office, at its discretion, at any time and without any prior notice to me.
