Education

High School

College Bus. or Trade School

Professional School

Other

Employment History

Please provide recent history for you last three employers.

1.

Employment History

2.

Employment History

3.

References

Please list 2 references other than relatives and previous employers

I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment, including current and past employment, education, background history and criminal history. I hereby expressly release from liability all persons, companies, corporations, and schools supplying information. I understand and authorize background checks on employment, education, references and criminal history. I understand that upon my written request, I will be informed whether a criminal report was sought and if used in my employment decision, I will receive a copy of the criminal report. I acknowledge that a fax or photocopy of this release shall be as valid as the original. I hereby authorize, without reservation, any laws any time in writing. Such written revocation is not valid until received by the Vivo Human Resource Director.

I hereby understand that any employment relations with Vivo is "at-will", which means that the employee may resign at any time and the employer may discharge employee at any time with or without cause. It is further understood that "at-will" employment or any other agreement involving Vivo may not be changed unless specifically acknowledged in writing by Vivo's President. In the event of employment, I understand that any falsification or omission of information given in my application or interview(s) is immediate grounds for dismissal. I also understand that I am required to abide by all rules and regulations of Vivo.

I understand and agree that Vivo corporate office is located in Idaho and that Idaho law is the governing law for the application, hiring and employment process. I hereby agree to the use of electronic records and electronic signatures for any transactions with Vivo that may require my signature.

Please enter your name and email address below to confirm that you that you agree to these terms and conditions.