I certify that I have read and understand all parts of it and certify that I have
truthfully and completely answered all questions. I understand that falsification of any of the information
given herein or on any other employment form is grounds for immediate termination, regardless of when such
falsifications may be discovered.
I authorize Quick Cash, Inc. and its representatives to investigate my education,
employment experience, criminal conviction records, and all other aspects of my background relevant to my
proposed employment, including all statements made by me in my application for employment. I release Quick
Cash and its representatives, as well as any person to whom such inquiry is directed, from any liability
arising directly or indirectly from any such investigators.
Further, I understand that employment will be contingent upon successfully passing a
pre-employment drug-screening test (except where prohibited). I understand my employment with Quick Cash
Corporation is for no definite length of time. I understand my employment may be terminated at any time with
or without cause, at the option of either Quick Cash, Inc. or myself. I understand that no employee or
representative of Quick Cash, Inc. has any authority to make any agreement which is contrary to the
foregoing. If accepted for employment, I agree to comply with all company policies and procedures and with
all rules and regulations made known at the time of employment or any other time thereafter, and to perform
all duties assigned to me to the best of my ability.
Notice to Applicants and Employees Regarding Consumer Reports
A consumer report and/or an investigative consumer report including information concerning your character,
employment history, general reputation, personal characteristics, criminal or police records, motor vehicle
record, mode of living, and/or credit and indebtedness may be obtained for employment purposes at any time.
An investigative consumer report is a consumer report which contains information obtained from interviews
with your neighbors, friends or associates. Upon timely written request of the People Services Department of
the Company, and within 5 days of the request, the nature and scope of any investigative consumer report
obtained will be disclosed to you.
Before any adverse action is taken in whole or in part as a result of information contained
in a consumer report or an investigative consumer report, you will be provided a copy of the report and a
summary of your rights under the Fair Credit Reporting Act.
In connection with my application for employment with Quick Cash, I understand that
consumer reports which may contain public record information may be requested. These reports may include the
following types of information: names and dates of employment, reason for termination of employment,
accidents, work experience, etc. I further understand that such reports may contain public record information
concerning my driving record, credit, bankruptcy proceedings, criminal records, etc., from federal, state and
other agencies which maintain such records. You have the right, upon written request, to receive a written
description of the nature and scope of the investigation requested and a written summary of your rights under
the Fair Credit Reporting Act.
I authorize, without reservation, any person or entity contacted by Quick Cash or its agent
or agents to furnish the above-stated information, and I release any such person or entity from any liability
for furnishing such information.
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