Interview Waiver Form
I, First Name, Last Name ,______________ am going to interview with
______________________client of Ankeny Temporary Services. I understand that if this job
(temp or temp to hire), is offered to me by either Ankeny Temporary Services or their client. I
am legally bond as an employee of Ankeny Temporary Services, until such time of either
permanent hire by their client, and according to terms set with Ankeny Temporary Services
and their client, or the temporary positions ends.
If you are hired with one of Ankeny Temporary Services clients' and you do not inform Ankeny
Temporary Services. You will and are obligation to pay $1,500.00 to Ankeny Temporary
Services for their time, effort, payroll and interviewing process. This will be enforced with an
invoice to CJM Financial Services or Debit Recovery Solutions. Their will a late fee for each
month paid and a service processing fee of $15.00 for each invoice not paid on time.
DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE STATEMENTS.
I certify that I have read, fully understand and accept all terms of the forgoing statements
Social Security Number______________________________________________________
Applicant Birth ( Date MM/DD/YY)___________________________________________
Driver License Number______________________________________________________
State Issued_________________________________ Expiration date:__________________