AGREEMENT (Please read the following statement carefully)
I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and
complete to be the best of my knowledge. I also agree that falsified information or significant omissions may disqualify
me from further consideration for employment and may be considered justification for dismissal if discovered at a later
I authorize all persons listed above (and on the accompanying resume, if any) to give Troy Vines, Inc
(Troy Vines) any and all information concerning my previous employment and education and any pertinent information
they may have, personal or otherwise, and release all parties, such persons and Troy Vines, Inc from liability for any damage
that may result from furnishing same to Troy Vines.
I understand that Troy Vines will provide worker’s compensation insurance coverage for its employees. In the event of any
injury in the workplace, I agree that my sole remedy lies in the coverage under Troy Vines workers’ compensation
If employed by Troy Vines, I agree to abide by the standards and procedures of Troy Vines, Inc outlined in its Handbook,
including, but not limited to, Troy Vines Anti-Harassment and Anti-Discrimination Policy. I further understand that my
employment can be terminated, with or without cause or notice, at any time, at the discretion of Troy Vines, Inc.
Should Troy Vines, Inc extend an offer of employment, I understand I may be required to take a drug and alcohol-screening