Progressive Directions, Inc., was chartered by the State of Tennessee as a private not-for-profit organization in 1976. Our mission is to serve the people of Montgomery and Stewart Counties, acting in the public interest by providing quality services to individuals with developmental disabilities and/or mental retardation. In order to fulfill this commitment, we are searching for caring people to provide services and supports for the individuals we serve in our many programs.
*PLEASE READ CAREFULLY BEFORE SIGNING*
APPLICANT ACKNOWLEDGEMENT AND AUTHORIZATION STATEMENT FOR RELEASE OF INFORMATION
I hereby consent to submit to urinalysis and/or other tests as shall be determined Progressive Directions, Inc. in the selection process of applicants for employment, for the purpose of determining the drug content thereof. I agree that WorkForce Essentials, Inc. may collect these specimens for these tests and may test them or forward them to a testing laboratory designated by the company for analysis. I further agree to and hereby authorize the release of the results of said tests to the company. I understand that it is the current illegal use of drugs and/or abuse of alcohol that prohibits me from being employed at this Company.
I further agree to hold harmless the Company and its agents (including the above named physician or clinic) from any liability arising in whole or part out of the collection of specimens, testing, and use of the information from said testing in connection with the Company’s consideration of my employment application. I further agree that a reproduced copy of this pre-employment consent and release form shall have the same force and effect as the original.
I have carefully read the foregoing and fully understand its contents. I acknowledge that my signing of this consent
and release form is a voluntary act on my part and that I have not been coerced into signing this document by anyone.
I certify that all the information provided by me in this application (or any other accompanying or required documents) is correct, accurate, and complete to the best of knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.
I hereby authorize any and all schools, past employers, references, courts and any others who have information about me to provide such information to Progressive Directions, Inc. (PDI), and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damages that may result from providing such information. I understand that if offered a position with PDI a Tennessee-licensed private investigation company will conduct a criminal background check. I understand that unsatisfactory results from these checks will result in withdrawal of any employment offer or termination of employment if already employed.
I understand that submission of an application does not guarantee employment. I further understand that should an offer of employment be extended by PDI such employment with PDI is at will, for no specified duration and may be terminated by either PDI or myself at any time, with or without cause or notice. I understand none of the documents, polices, procedures, actions, statements of PDI or its representatives used during the employment process is deemed a contract of employment real or implied.
In consideration for employment with PDI, if employed, I agree to conform to the guidelines, regulations, policies and procedures outlined by PDI and Tennessee Department of Intellectual and Developmental Disabilities (DIDD) at all times and understand that such compliance is a condition of employment. I understand that due to the nature of PDI business, attendance and punctuality are considered essential requirements of every job at PDI and that poor attendance or tardiness will result in disciplinary action.
I understand all employees are required to attend competency-based training and must achieve a completed score of 80% to pass. All information and testing is administered through the Relias Learning System on a computer in a classroom setting. I must be available to attend Mon-Friday 8a-4p. I understand unsatisfactory performance during the training will result in withdrawal of any employment offer or termination of employment if already employed.
I understand that this application is considered current for three months. If I wish to be considered for employment after this period, I must fill out and submit a new application.
I, the undersigned applicant, certify and affirm that, to the best of my knowledge and belief, I [“have” or “have not,” as applicable] had a case of abuse, neglect, mistreatment or exploitation substantiated against me. As a condition of submitting this application and in order to verify this affirmation, I further release and authorize PROGRESSIVE DIRECTIONS, INC., the Tennessee Department of Intellectual and Developmental Disabilities and the Bureau of TennCare to have full and complete access to any and all current or prior personnel or investigative records, from any party, person, business, entity, or agency, whether governmental or non-governmental, as pertains to any allegations against me of abuse, neglect, mistreatment, or exploitation and to consider this information as may be deemed appropriate. This authorization extends to providing any applicable information in personnel or investigative reports concerning my employment with this employer to my future employers who may be Providers of DIDD services.