I hereby certify that the information contained in
this application form is true and correct to the best of my knowledge and I
agree to have any of the statements checked by the Hospital unless I have
indicated to the contrary. I authorize the references listed above to provide
the Hospital any and all information concerning my previous employment and any
pertinent information that they may have. Further, I release all parties and
persons from any and all liability for any damages that may result from
furnishing such information to the Hospital as well as from the use or
disclosure of such information by Hospital or any of its agents, employees, or
representatives. I understand that any misrepresentation, falsification, or
material omission of information on this application may result in my failure to
receive an offer or, if I am hired, in my dismissal from employment.
In consideration of my employment, I agree to
conform to the rules and standards of the hospital and agree that my employment
and compensation can be terminated, with or without cause, and with or without
notice, at any time, either at my option or at the option of the Hospital. I
also understand that all offers of employment are conditioned on the provision
of satisfactory proof of an applicant's identity and legal right to work in the
U.S.
I understand that any offer of employment with the
Hospital will be conditioned on completing a post-offer employment medical
examination, drug screen and criminal background check. The purpose of the
medical examination is to determine whether I am able to perform the essential
functions of the job I am offered with or without reasonable accommodation, to
identify any reasonable accommodation if such is warranted, and to ensure that
my performance of the essential functions does not present a direct threat to my
health and safety or the health and safety of others. I agree to undergo such a
post-offer employment medical examination, if hired by the Hospital. I further
agree to undergo any periodic medical examinations that are permitted or
required by law.
The Hospital complies with
Federal and State laws, which prohibit discrimination on the basis of race,
color, age, sex, religion, national origin, ancestry, disability or handicap, veteran status, sexual orientation, marital status, or any other protected
classes defined by law.
