do not answer any of the questions in this box unless the employer has checked the box preceding a question, thereby indicating that the information is required for a bona fide occupational qualification, or dictated by national security laws, or is needed for other legally permissible reasons. the information disclosed will not be used to discriminate against the applicant during the hiring process for any reasons relating to race. color, sex, religious affiliation, national origin. gender, or any disability.
this question is being asked because the job for which you are applying is considered a "security-sensitive" job, requiring a very high level of trust, such as any position in which the employee handles currency. has access to a job-related computer terminal, has access to a master key, or works in an area which has been designated as a security-sensitive area. answering yes to this question will not constitute an automatic rejection of employment. the date of the offense, the seriousness and nature of the violation, rehabilitation, and position applied for will all be considered. if your record was expunged, sealed or set aside, you may answer "no" to the above question.
i understand and agree that, in the event that i am offered a job, i may be required to take one or more:
as a condition of hiring or continued employment. i agree to consent to take such test(s) at such time as designated by the company and to release the company, its directors, officers, agents or employees from any claim arising in connection with the use of such test(s). other than claims related to privacy violations and/or discrimination under appli-cable federal and state laws. i understand that all potential employees are required to take a physical examination and/or drug test and that, in compliance with federal law, the records of such tests will be kept confidential and the information obtained will not be used to discriminate on the basis of disability, health problems, or medical conditions.
any information voluntarily disclosed in the following question will only be used by the employer to determine the extent of any employer-provided accommodations that may be necessary for the applicant under the american with disabilities act; the information disclosed will not be used to discriminate against the applicant during the hiring process for any reasons relating to disabilities, health problems, or medical conditions.