By submitting this form, I certify the information contained in this application for employment is true to the best of my knowledge/ belief. I understand that any omission of facts or misrepresentation is cause for denial of employment and/or dismissal (if hired) regardless of when discovered. I understand that additional record and background checks will be performed including SING, as well as other state and federal databases as required by law or policy.
I grant permission for Clarinda Regional Health Center to investigate my work references and release any former employer from any and all liability resulting from such investigation. Upon my termination, I authorize the release of reference information on my work.
I agree to submit to a post-offer physical, including drug and/or alcohol screening and recognize employment is contingent upon successfully meeting physical requirements.
I further agree that if I have been convicted of a crime, Clarinda Regional Health Center may obtain details of my conviction to determine its relationship to the position I am applying for as a condition of my employment.
In consideration of my employment, I agree to conform to the rules and regulations of Clarinda Regional Health Center. My employment may be terminated, with or without cause, at any time, at the option of Clarinda Regional Health Center or myself.
Federal law requires evidence of identity and employment eligibility upon hire.
This facility does not discriminate in hiring or in any other decision based on race, creed, color, religion, sex, sexual orientation, gender identity (including gender expression), national origin, age, disability, veteran status, genetic information or any other protected group under applicable state, federal or local law. No question on this application is intended to secure information to be used for such discrimination.