Disclaimer and Disclosure


It is the policy of PSI CRO Research Canada, Inc. (“PSI”) to afford equal opportunity to all employees and applicants for employment without regard to race, creed, color, religion, national origin, ancestry, alienage or citizenship status, age, disability or handicap, sex, marital status, familial status, veteran status, sexual orientation, arrest record or any other characteristic protected by applicable laws.

I certify that the information contained in this application is correct and complete to the best of my knowledge, and I understand that any misstatement or omission of information is grounds for denial of employment or immediate dismissal, regardless of when and how it is discovered. I authorize verification of information provided on this application; and authorize references to give you all pertinent information concerning my previous employment; and release all parties from all liability for any damage that may result from furnishing same to PSI. In consideration of my employment, I agree to conform to the rules and regulations of PSI. I further agree that either I or the Company may terminate my employment with or without cause and with or without prior notice, at any time. Finally, I understand that no representative of the Company other than the Executive Officer has the authority to enter into any agreement for employment for any specified period of time, or to otherwise alter the foregoing.


I understand that in connection with my application for employment (including contracts for service), PSI CRO Research Canada, Inc. (“PSI”) may use an outside agency to research and verify information I have provided. I hereby authorize PSI and/or entity directed by PSI prior to or at any time after my employment commences to conduct a background screening investigation for employment purposes. I understand this background investigation may include inquiries regarding my employment history; court records, including criminal convictions record, as permitted by law; education and professional license and certification verifications; Social Insurance Number trace; and references obtained from professional associates.

I hereby authorize all previous employers, educational institutions, and other persons or entities having information about me to provide such information to PSI or other entities that obtains information for PSI without prior notice to me. I further fully release PSI, its employees, officers, directors, agents, successors and assigns, and all other parties involved in the investigation, from any claim or action for liability whatsoever related to the process or results of the background/reference investigation.

I understand results of my background check may be used in determining whether to make me an offer of employment and other employment decision, and that the Disclosure Authorization is not an offer for employment by PSI or a contract with PSI.