I UNDERSTAND THE IF I AM ASSIGNED, ANY MISREPRESENTATION OR MATERIAL OMISSION MADE BY ME ON THIS APPLICATION WILL BE SUFFICIENT CAUSE FOR CANCELLATION OF THIS APPLICATION OR IMMEDIATE DISCHARGE FROM THE ASSIGNMENT, WHENEVER IT IS DISCOVERED.

I  GIVE PRIME CONSULTING PERSONNEL THE RIGHT TO CONTACT AND OBTAIN INFORMATION FROM ALL REFERENCES, EMPLOYERS, EDUCATIONAL INSUTITUTIONS AND TO OTHERWISE VERIFY THE ACCURACY OF THE INFORMATION CONTAINED IN THIS APPPLICATION. I HEREBY RELEASE FROM LIABILITY PRIME CONSULTING PERSONNEL, AND ITS REPRESENTATIVES FOR SEEKING, GATHERING AND USING SUCH INFORMATION AND ALL OTHER PERSONS, CORPORATIONS OR ORGANIZATIONS FOR FURNISHING SUCH INFORMATION.

PRIME CONSULTING PERSONNEL DOES NOT UNLAWFULLY DISCRIMINATE IN ASSIGNING INDEPENDENT CONTRACTORS AND NO QUESTIONS ON THIS APPLICATION IS USED FOR THE PURPOSE OF LIMITING OR EXCUSING ANY APPLICANT FROM CONSIDERATION FOR AN ASSIGNMENT ON A BASIS PROHIBITED BY LOCAL, STATE OR FEDERAL LAW.

THIS APPLICATION IS CURRENT FOR ONLY 60 DAYS. AT THE CONCLUSION OF THIS TIME, IF I HAVE NOT HEARD FROM PRIME CONSULTING PERSONNEL AND STILL WISH TO BE CONSIDERED FOR ASSIGNMENT, IT WILL BE NECESSARY TO FILL OUT A NEW APPLICATION.

IF I AM ASSIGNED, I UNDERSTAND I AM FREE TO RESIGN AT ANY TIME, WITH OR WITHOUT CAUSE AND WITHOUT PRIOR NOTICE, AND PRIME CONSULTING PERSONNEL REVERSES THE SAME RIGHT TO TERMINATE MY ASSIGNMENT AT ANY TIME, WITH OR WITHOUT CAUSE AND WITHOUT PRIOR NOTICE, EXPECT AS MAY BE REQUIRED BY LAW. THIS APPLICATION DOES NOT CONSTITUE AN AGREEMENT OR CONTRACT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OR DEFINITE DURATION. I UNDERSTAND THAT NO REPRESENTATIVE OF PRIME CONSULTING PERSONNEL, OTHER THAN AUTHORIZED OFFICER HAS THE AUTHORITY TO MAKE ANY ASSURANCES TO THE CONTRARY. I FUTHER UNDERSTAND THAT ANY SUCH ASSURANCES MUST BE IN WRITING AND SIGNED BY AN AUTHORIZED OFFICER.

I UNDERSTAND IT IS THIS COMPANY'S POLICY NOT TO REFUSE TO ASSIGN A QUAILIFIED INDIVIDUAL WITH A DISABILITY BECAUSE OF THAT PERSON'S NEED FOR A REASONABLE ACCOMMODATION AS REQUIRED BY THE ADA.

I ALSO UNDERSTAND THAT IF I AM ASSIGNED, I WILL BE REQUIRED TO PROVIDE PROOF OF IDENTITY AND LEGAL WORK AUTHORIZATION AND AGREE TO A POST OFFER DRUG TEST. FAILING THE POST OFFER DRUG SCREEN WILL RESULT IN REVOCATION OF AN ASSIGNMENT.

I REPRESENT I HAVE READ AND FULLY UNDERSTAND THE FOREGOING AND SEEK AN ASSIGNMENT UNDER THESE CONDITIONS.