Authorizations & At-Will Employment Agreement


I certify that I have personally completed this application. I declare that the information provided in this employment application is true and complete and I understand that any false information or significant omissions may disqualify me from further consideration for employment and may be justification for my dismissal from employment if discovered at a later date. I agree to immediately notify this company if I should be convicted of a crime while my job application is pending or during my employment, if hired.

I authorize this company to make an investigation of all information contained in this employment application and I release from liability all companies and corporations supplying such information. I understand any false answers, statements, or implications made by me on this application or other required documents shall be considered sufficient cause for denial of employment or discharge.

I specifically authorize and direct my current and former employers to supply employment-related information to Four Blooms, Inc. and do hereby release my current and former employers from liability for providing information to Four Blooms, Inc.

Upon termination of my employment for whatever reason, I release Four Blooms, Inc. from all liability for supplying any information concerning my employment to any potential employer.

I hereby agree to submit to any alcohol/drug test required of me, either for pre-employment, reasonable suspicion or post-accident incidents. I hereby authorize the release and exchange of such medical information relating to my condition.




I understand and agree that nothing contained in this application, or conveyed during any interview is intended to create an employment contract between the company and me. In addition, I understand and agree that if you employ me, in consideration of my employment, my employment and compensation will be at-will, for no definite period of time, and may be terminated at any time, for any reason, or for no reason at all. I understand that only the company’s President is authorized to change the employment-at-will status and such a change can only be done in writing. I have read, understand, and agree to the above.

Four Blooms Restaurant

668 N Hunter Hwy,

Drums, PA 18222

Phone. 570-708-2200