Substance Testing Consent Notice:
Please Read Carefully:
Alamance Country Club is committed to providing a productive and safe work environment for all employees. To further this goal, ACC has established a substance testing program. This program applies to, in appropriate instances and in accordance with applicable law, applicants who have received a conditional offer of employment and all ACC employees.
Consistent with this program, I freely and voluntarily consent to provide blood, breath and/or urine samples, upon request by an authorized representative of ACC, to determine whether drugs or other chemical intoxicants (including alcohol in appropriate cases) are present in my system. I agree to fully cooperate with ACC, its representatives, agents, and any representative or agent of a clinic, laboratory and/or hospital involved in the sample collection, testing, evaluation, reporting, and confirmation process.
I further consent to and authorize the release of all information generated by or obtained from my participation in the substance testing program to ACC, its agents, representatives, insurers and appropriate governmental agencies such as the state unemployment or workers' compensation commissions.
To the extent allowed by applicable law, I release and hold harmless, individually and collectively, each person or business entity involved in the sample, request, collection, testing, evaluation, reporting and for any decisions, adverse or otherwise, made concerning my application for employment, continued employment or benefits eligibility based on the test results.
I understand that my failure or refusal to comply in all respects to the terms contained herein or a positive test result may be grounds to reject my application or rescind a conditional offer of employment or, if employed, disciplinary action up to and including termination.
I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal, further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any previous notice. |