INSTRUCTIONS - Each question should be fully and accurately answered. No action can be taken on this application until all questions have been completed. All information you provide will be held in
strict confidence. IF APPLICATION IS NOT COMPLETELY FILLED OUT, IT WILL NOT BE CONSIDERED FOR EMPLOYMENT. All employees hired are hired at-will both during and after the 90 day training period, employees can be terminated at any time for any reason by the company
RESIDED AT THIS ADDRESS:
PREVIOUS ADDRESS(ES) IF YOU HAVE RESIDED AT ABOVE ADDRESS FOR LESS THAN 3 YEARS
WORK HISTORY (must be completely filled out or accompanied by a resume)
DATES OF EMPLOYMENT
DATES OF EMPLOYMENT
DATES OF EMPLOYMENT
REFERENCES (Professional References, Not Relatives)
TRADE COLLEGE AND POST GRADUATE STUDIES
OTHER INFORMATION (must be filled out completely and accurately, failure to do so is automatic disqualification for employment)
In signing this application I agree to a pre-employment honesty test, and to make any or all employment information available to a bonding company, where applicable, and understand this will be a condition of employment.
I certify that all of the information provided on this application is accurate and understand that it is subject to verification and that my employment and/or continuance thereof may be contingent upon its accuracy. All applications are kept on file.
Employees are hired at the discretion of the company, and just as they may voluntarily leave at any time, their employment may be terminated at any time. Employees are employed at-will both during and after the 90 day training period. Employees can be terminated at any time for any reason by the company.
Fantasy World, Incorporated does not discriminate against any employee or qualified applicant for employment because of race, creed, color, religion, sex, sexual orientation, age, national origin, physical or mental handicap, or status as a disabled veteran or veteran of the Vietnam era.
DRUG & ALCOHOL FREE WORKPLACE POLICY CONSENT FOR PARTICIPATION
(To be signed by all present employees and new applicants for hire)
I consent to participation in this company's "Drug and Alcohol Testing Program". It is my right to
expect that DHHS protocols regarding obtaining specimens for drug and alcohol testing are utilized and
that all urine drug and alcohol tests are submitted to a confirmatory test if the initial test is positive. I
reserve the right to bring to the attention of management any discrepancies in testing protocol, such that
management review can be utilized.
A. I understand that a pre-employment urine drug screen for controlled substances is a prerequisite
for employment, and failure to pass this screen, and/or a refusal to submit to testing will result in my
application for employment receiving no further consideration. If my test is positive, I have the right to
request that the split specimen be re-tested at a different DHHS certified laboratory, but agree to assume
responsibility for the cost of this test. If I am unable to pay this fee, I agree to work out a billing
arrangement with my potential employer if I desire to pursue the testing of the split specimen. I
understand that if the split specimen test result is negative, I will be reimbursed the cost of this test by the
B. I understand that I may be asked to submit to a urine drug and or alcohol test if, in the opinion of
a trained supervisor, there is ample evidence to suspect drug and/or alcohol impairment while at work.
C. I understand that if I sustain an injury at work or am involved in an accident while on company
time, premises and/or utilizing company equipment and/or vehicles, I will be asked to submit to a post
accident drug and/or alcohol test.
D. I understand that my potential employer has a “zero tolerance” policy, and a positive urine drug
and/or alcohol test would result in termination or retraction of a job offer.
E. I understand that a refusal to test in any circumstance is treated as a positive test.
It is my right to ask, in writing, for the results of any drug and/or alcohol testing performed on me
during the course of my employment with this company. I also have the right to request testing of the
split specimen within 72 hours of MRO notification of a positive test result.
I authorize the collection site to release alcohol and/or drug test results, and any other pertinent
information concerning the collection of my alcohol and/or urine samples to the Medical Review Officer
designated by my company. I consent to have the laboratory release the results of my alcohol and/or
drug testing to the Medical Review Officer designated by my company, and authorize the Medical
Review Officer, to release these results to my employer after verification. I understand the results of
ANY alcohol or drug testing will NOT be otherwise released without my express written consent for such.
CONSENT TO BACKGROUND CHECK
This Agreement (“Agreement”) is made and effective this
Fantasy World, Inc. dba Fantasy World Entertainment (the “Company”), a corporation organized and existing
under the laws of the State of Maryland, with its head office located at: 124 Jibsail Drive, Prince Frederick, MD
In connection with my application for employment with the Company, I hereby agree as follows:
1. GENERAL CONSENT TO BACKGROUND INVESTIGATION
As a condition of Company’s consideration of my employment application, I give permission to Company to investigate my personal
and employment history. I understand that this background investigation will include, but not be limited to, verification of all
information on my employment application.
2. CONSENT TO CONTACT PAST EMPLOYERS
I specifically give permission to Company to contact all of my prior employers for references. I further give permission to all current
or previous employers and/or managers or supervisors to discuss my relevant personal and employment history with Company,
consent to the release of such information orally or in writing, and hereby release them from all liability and agree not to sue them for
defamation or other claims based upon any statements they make to any representative of Company. I further waive all rights I may
have under law to receive a copy of any written statement provided by any of my former employers to Company. I further agree to
indemnify all past employers for any liability they may incur because of their reliance upon this Agreement.
3. CONSENT TO CONTACT GOVERNMENT AGENCIES
I further give permission to the Company to receive a copy of any information obtained in the file of any federal, state and/or local
court, or governmental agency concerning or relating to me. I further consent to the release of such information and waive any right
under law concerning notification of the request for a release of such information. In the event a law does not provide for prospective
employers to have access to information, I hereby delegate Company as my agent for the receipt of information. I understand that the
scope of this investigation will be limited only as required by applicable law.
4. COOPERATION WITH INVESTIGATION
I agree to fully cooperate in Company’s background investigation, and to sign any waivers and/or releases that may be necessary or
desirable to obtain access to relevant information. In the event that any former employer or federal, state or local governmental
agency will not release reference information or criminal history information directly to the employer, I agree to personally request
such information to the extent permitted by law.
5. ENTIRE AGREEMENT
This Agreement represents the entire understanding and agreement relating to its subject matter. Company shall be entitled to fully
rely on this Agreement. I understand that I have no guarantee of employment and that the Company may determine not to hire me for
any lawful reason.