ACKNOWLEDGEMENT AND AGREEMENT TO CONDITION OF EMPLOYMENT AND CONTINUED EMPLOYMENT WITH THE CITY OF MESQUITE WHEREAS, I am aware that the City of Mesquite has deemed it reasonable and necessary to the health and safety of the general public and its work force to employ the services of Fire, Rescue, Police and Corrections personnel who are and who will remain physically competent and capable of performing the duties and services required of public safety personnel by the Mesquite Fire & Rescue Department and the Mesquite Police Departments; and WHEREAS, I am further aware that the City of Mesquite has determined that tobacco use (smoke or smokeless) impairs or could impair the ability of public safety personnel to continue to perform their assigned duties during the term of their employment given the substantial evidence of the unhealthy and potentially disabling and fatal consequences of the use of tobacco products. NOW, THEREFORE, as a condition of becoming employed and remaining employed with the Mesquite Fire & Rescue Department or the Mesquite Police Department as a public safety employee, I hereby agree, promise and represent that I am and will remain a non-tobacco user both on and off duty for the duration of my employment with the City of Mesquite. I understand and agree that my proven failure to honor this condition (non-tobacco use) during my employment with the City of Mesquite as a public safety employee will result in my immediate termination from the City of Mesquite. I, , have read, understand and agree to abide by this condition of my employment and continued employment (non-tobacco use) with the City of Mesquite as detailed in this document and agree as a condition of my employment and continued employment. 6/07

NOW, THEREFORE, I have executed this document knowingly and voluntarily thereby waiving any and all claims and/or causes of action that I may have against the City of Mesquite or the Mesquite Fire & Rescue Department or the Mesquite Police Department for the termination of my employment due to my proven tobacco use following my employment.

Employee Name

Date

Employee Signature

ACKNOWLEDGMENT

State of Nevada ss.

County of Clark

The person known as

did appear before me, known by me to

be the person who signed the foregoing ACKNOWLEDGEMENT AND AGREEMENT TO CONDITION OF EMPLOYMENT AND CONTINUED EMPLOYMENT WITH THE CITY OF MESQUITE freely and voluntarily and for the purposes set forth therein.

SUBSCRIBED and SWORN to before me this

day of

Notary Public

6/07

, 20

Acknowledgment of Conditional Employment

in this document and agree as a condition of my employment and ... NOW, THEREFORE, I have executed this document knowingly and ... Employee Signature.

55KB Sizes 0 Downloads 289 Views

Recommend Documents

CORI Acknowledgment Form.pdf
CORI Acknowledgment Form.pdf. CORI Acknowledgment Form.pdf. Open. Extract. Open with. Sign In. Main menu. Displaying CORI Acknowledgment Form.pdf.

CONDITIONAL MEASURES AND CONDITIONAL EXPECTATION ...
Abstract. The purpose of this paper is to give a clean formulation and proof of Rohlin's Disintegration. Theorem (Rohlin '52). Another (possible) proof can be ...

Causal Conditional Reasoning and Conditional ...
judgments of predictive likelihood leading to a relatively poor fit to the Modus .... Predictive Likelihood. Diagnostic Likelihood. Cummins' Theory. No Prediction. No Prediction. Probability Model. Causal Power (Wc). Full Diagnostic Model. Qualitativ

Testing Parametric Conditional Distributions of ...
Nov 2, 2010 - Estimate the following GARCH(1, 1) process from the data: Yt = µ + σtεt with σ2 ... Compute the transformation ˆWn(r) and the test statistic Tn.

Rules Acknowledgment Form With Watermark March 2015.pdf
There was a problem previewing this document. Retrying... Download. Connect more apps... Try one of the apps below to open or edit this item.

PS Acknowledgment and Permission Form 2016.pdf
7 Nutrition Services Information (website & SPG Handbook). 8 Acknowledgement of Receipt (website & SPG Handbook). 9 Code of Conduct (website & SPG ...

CONDITIONAL STATEMENTS AND DIRECTIVES
window: 'If you buy more than £200 in electronic goods here in a single purchase, .... defined by the Kolmogorov axioms, usually take as their domain a field of subsets of an ..... The best place to begin is the classic presentation Lewis (1973).

Conditional Probability.pdf
Sign in. Loading… Whoops! There was a problem loading more pages. Whoops! There was a problem previewing this document. Retrying... Download. Connect ...

Conditional Probability Practice - edl.io
Use the table below to find each probability. Projected Number of Degree Recipients in 2010 (thousands). Degree. Male. Female. Associate's. 245. 433.

Conflict-Driven Conditional Termination
Our search procedure combines decisions with reachability analysis to find potentially ... combining ranking functions with reachability analysis. ..... based tool FuncTion [32] cannot prove termination. cdct enables FuncTion to prove ... a meet ⊓,

CONDITIONAL STATEMENTS AND DIRECTIVES
always either true or false, but never both; as it is usually put, that they are two-valued. ... window: 'If you buy more than £200 in electronic goods here in a single .... defined by the Kolmogorov axioms, usually take as their domain a field of s

Conflict-Driven Conditional Termination
stract domain to construct and refine assignments to second-order variables in .... and first-order program variables are free but first-order position variables are ..... 100. FuncTion. Ul tima te. A utomizer. [18]. (d). Fig.4: Detailed comparison o

Voting Systems: Conditional Approval of Dominion ... - State of California
Dec 30, 2014 - administrative approval of an updated version of the software for the Adjudication component. Attached is a copy of the Conditional Approval ...

Voting Systems: Conditional Approval of Dominion ... - State of California
30 Dec 2014 - administrative approval of an updated version of the software for the Adjudication component. Attached is .... Any votes cast on the device prior to its removal from service must be subject to a. 100 percent ... Any memory card containi

EMPLOYMENT EQUITY
Employment equity involves a systemic approach to achieve fairness in employment. The aim of employment equity is the achievement of a workplace where ...

Conditional sentences intermediate.pdf
c) If you don't get nervous before the exam, you ______ (have) any problems. d) If you ______ (be) rude to your sister, she won't help you. e) If María José ...

Voting Systems: Conditional Approval of Dominion ... - State of California
Dec 30, 2014 - The Secretary of State conditionally approved the Dominion Voting Systems, Inc. Democracy Suite version 4.14-A.1 with Adjudication version ...

Handling Conditional Discrimination
explanatory. Experimental evaluation demonstrates that the new local techniques remove exactly the bad discrimination, allowing differences in decisions as long as they are explainable. Index Terms—discrimination; classification; independence;. I.

application for employment - City of Mesquite Nevada
Google Apps Experience ❍ Gmail ❍ Google Drive ❍ Google Calendar ❍ ... Address. Phone. Your Job Title. Supervisor's Name/Title. Reason For Leaving.

Application for Employment - City of Joseph, Oregon
Aug 16, 2017 - to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, veteran's status, ... COMPANY WEBSITE.

Directorate of Employment & Training, Gandhinagar - MaruGujarat.net
Sep 1, 2016 - 67. 71. 10000210 Mr. MAULIKKUMAR HASMUKHLAL PRAJAPATI. 72. 65. 10000211 Mr. PRIYANKKUMAR RAMESHCHANDRA SONI. 81. 67.

review of People Employment Programme.pdf
Whoops! There was a problem loading more pages. Whoops! There was a problem previewing this document. Retrying... Download. Connect more apps.

Application for Employment - City of Joseph, Oregon
Aug 16, 2017 - HOME PHONE. ALTERNATE PHONE .... training and any other employment investigation information, including good faith expressions of ...

Application for Employment - City of Joseph, Oregon
Aug 16, 2017 - ALTERNATE PHONE. EMAIL ADDRESS ... COMPUTER SKILLS – Windows Programs ... BRIEFLY DESCRIBE OTHER COMPUTER SKILLS:.