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Kwik Trip Employment Screening Policy

1) Kwik Trip may obtain consumer and investigative consumer reports on applicants and employees for employment purposes as part of screening and hiring. These reports may include criminal, driving, education, and other background information. 2) Drug and alcohol testing is required for the position. Any offer or continued employment is contingent on passing a drug test. Failing or tampering with a drug test may result in disciplinary action up to termination. 3) By signing, the applicant authorizes Kwik Trip to obtain consumer and investigative consumer reports without further authorization during the hiring process and employment. The applicant also acknowledges reviewing and consenting to Kwik Trip's drug and alcohol testing policy.

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775 views2 pages

Kwik Trip Employment Screening Policy

1) Kwik Trip may obtain consumer and investigative consumer reports on applicants and employees for employment purposes as part of screening and hiring. These reports may include criminal, driving, education, and other background information. 2) Drug and alcohol testing is required for the position. Any offer or continued employment is contingent on passing a drug test. Failing or tampering with a drug test may result in disciplinary action up to termination. 3) By signing, the applicant authorizes Kwik Trip to obtain consumer and investigative consumer reports without further authorization during the hiring process and employment. The applicant also acknowledges reviewing and consenting to Kwik Trip's drug and alcohol testing policy.

Uploaded by

Joshuaa Fernandez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Consumer and/or Investigative Consumer

Report
Disclosure and Authorization

Disclosure

Kwik Trip may obtain or cause to be prepared a consumer and/or investigative consumer report
("Report") concerning you for employment purposes as part of its screening and hiring process, or, if
applicable, during your employment with Kwik Trip. The nature and scope of this investigation will
include a number of sources including criminal convictions, motor vehicle records, and other reports. A
Report, unless prohibited by applicable law, may include information bearing on your character, general
reputation, or personal characteristics. Information relating to your performance and experience, along
with reasons for termination of past employment from previous employers, may also be obtained.
Information may be obtained from various Federal, State, County and other agencies that maintain
records concerning your past activities relating to; driving, criminal, education, and other experiences
and, for investigative consumer reports, from personal interviews with your friends, neighbors or
associates (most commonly from your prior employers and references).
If an investigative consumer report is obtained or caused to be prepared, Kwik Trip will provide you
the nature and scope of the investigation requested upon a timely written request by you to Kwik Trip's
H uman Resources department.

Drug and Alcohol

Disclosure

I understand that drug and alcohol testing is a requirement for the position I am seeking. I further understand
that any offer of, or continuation of employment, will be contingent upon successful completion of a drug test.
Additionally, should the company obtain a positive or invalid drug screen result, Kwik Trip, Inc. has the right to
take disciplinary action up to and including termination.

If you have a question regarding your rights under the Policy, please contact Kwik Trip, Inc. Human Resources
at 608-793-6000.

Authorization
I hereby authorize Kwik Trip to obtain from a consumer reporting agency a consumer and/or an
investigative consumer report regarding me during the selection process, and, if applicable and as allowed
by law, during my employment with Kwik Trip without asking me for my authorization again.

I understand that any offer of, or continuation of employment will be contingent upon successful completion
of a satisfactory background investigation, where applicable. I further understand that should the company
become aware of information withheld during the selection process, Kwik Trip, Inc. has the right to take
disciplinary action up to and including termination.

A copy of the Company’s Drug Free Workplace Policy is below. I have reviewed a copy of Kwik Trip’s Drug
and Alcohol Testing Policy (“Policy”). Consistent with applicable law and the Policy, I consent to the
disclosure of the drug and alcohol test results to Kwik Trip, and/or its agents, including, but not limited to, a
Medical Review Officer.

By signing below, I further acknowledge that I have reviewed the Policy, I have been provided an opportunity
to ask questions about my rights under the Policy, and that I may be required to take a Drug and Alcohol Test
consistent with the Policy.

Signature Store/Dept Applying:

Printed Name Date

Parent/Legal Guardian’s Signature


__________________________

Printed Name Date

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