This Corporation is an equal employment opportunity employer.
1. I certify that all of the information provided by me on the application is true and correct. I further understand that false or misleading statements or omissions of any kind in the application, or other forms, will result in the rejection of the application, or if such false statements or missions are discovered after employment, employment will be terminated.
2. I agree, understand and authorize that the Corporation or its agents may investigate any background to verify any and all information provided by me. I authorize persons or organizations referenced in this application to give the Corporation any and all information concerning my previous employment, education, or any other informationthey might have, personal or otherwise, with regard to any of the subjects covered by this application, and release all such parties from all liability for any damages that may result from furnishing such information to this Corporation.
3. I also agree and understand that under the Fair Credit Reporting Act I have been told that this investigation may include an investigative consumer report, including information regarding my character, general reputation, personal characteristics and mode of living. If any such investigation results in denial of employment, I shall so be advised, the Corporation shall supply the name and address of the consumer reporting agency making the investigative report, and I will be given an opportunity to correct any misinformation contained in such report.
4. I agree to furnish such additional information and complete such examination (including employment and periodic physical examination and periodic test for controlled substances or alcohol) as may be required by the Corporation. I agree and understand that my initial and continued employment is contingent upon my submitting to such examination or tests when requested, and that refusal to take such examination will subject me to termination. I further understand, and agree, that anything I bring onto, or take from, the Corporation's premised, including my vehicle, is subject to search by the Corporation at any time for contraband or controlled substances.
5. If employed, I agree and understand that my employment is for no definite duration and may be terminated at will be either the Corporation or me. Additionally, the Employment Handbook, or any other statement of Corporation policy, is not a contact, cannot be construed as a contract, and cannot create a contract of employment of any kind. I understand the Employment Handbook and other policies, may be modified, supplemented, or rescinded at any time. I agree and understand that no employee of the Corporation has the authority to establish a contract of employment with me.
6. I agree and understand that should I be employed, I will not at any time or in any manner, either directly or indirectly, divulge, disclose or communicate to any person, firm, or corporation any information concerning patients of the Corporation. I understand that I may be asked to sign a confidentiality agreement consistent with this paragraph as a condition of employment.