Employment Verification Authorization

Please read this document thoroughly and sign below.

  1. I certify that the information in my employment application is true and correct. I agree to have any and all of the statements and references checked by Bennett Gaynor/Sustainable Staffing (“BGSS”). It is understood that this authorization also allows BGSS to share this information with its employer clients regarding my possible employment. Any misrepresentation, falsification or omission of information on my application may result in my failure to receive an offer of employment at any time in the future.
  2. I authorize BGSS to verify my employment, schools and any criminal felony conviction history.
  3. I authorize and direct the references listed in my application, as well as any and all individuals or companies contacted by BGSS, such as my former employers and schools, to provide BGSS with any and all information concerning my previous employment and schooling and any other pertinent information that they may have or know about me. I release all companies, schools and persons providing such information to BGSS from liability for any damages that may result from furnishing such information to BGSS.
  4. I will not solicit nor accept employment with any BGSS clients to whom I have been referred without the express permission of Bennett Gaynor/Sustainable Staffing.
  5. I agree that I will keep in confidence any of BGSS’s and their client’s private or proprietary information, unless otherwise authorized in writing.
  6. I understand that I will be required to present documents to support my right to work in the United States of America and complete the I-9 form.
    Circle One: YES NO
  7. Have you ever been convicted of a felony? Circle One: YES NO
    Please note: a conviction will not necessarily disqualify any applicant from employment.

    Name (Please Print)
    Social Security Number