PLEASE CAREFULLY READ EACH PARAGRAPH BEFORE SIGNING:

I promise that the information provided in this employment application (and accompanying resume, if any) is true and complete, and I understand that any false information, misrepresentation, or material omissions may disqualify me from further consideration for employment, and may be justification for my dismissal from employment by SCCAP if discovered at a later date. I agree to immediately notify SCCAP if I should be convicted of a felony, or any crime involving dishonesty or a breach of trust while my job application is pending or during my period of employment, if hired.

I authorize any person, school, current employer (except as previously noted), past employers, government or investigative agencies, and other organizations that may be named in this application form (and accompanying resume, if any) to provide the company with relevant information and opinion that may be useful to SCCAP in making a hiring decision, and I release such persons and organizations from any legal liability in making such statements.

I understand that an employer that discloses information about a current or former employee is immune from civil liability for the disclosure and the consequences proximately caused by the disclosure unless it is proven by a preponderance of the evidence that the information disclosed was known to be false at the time the disclosure was made. (Ind. Code 22-5-3-1-b)

I authorize SCCAP to obtain the following information in connection with my application for employment, or, if hired, at any time during my employment: criminal and/or motor vehicle records, employment records, or educational records. I acknowledge that SCCAP has informed me that it may make use of this information in evaluating my application for employment, and in SCCAP decisions regarding hiring, compensation, promotion, reassignment, retention, and other terms of my employment at SCCAP. I authorize SCCAP to make use of the above-referenced information and waive any claim against SCCAP for using such information in good faith.

I understand that if employed and my employment is terminated by SCCAP for dishonesty, breech of trust, or any criminal acts, the authorities may be notified and I may be criminally prosecuted.

I understand that this application does not, by itself, create a contract of employment. I understand and agree that, if hired, my employment is no definite period of time, and may, regardless of the date of payment of my wages or salary, be terminated at any time.