APPLICANT ACKNOWLEDGMENT:
Please read the following statements carefully before signing this application. Only those applications that are signed and dated are considered valid. If you have any questions regarding these statements, please ask before you sign.
I understand that nothing in this application is intended to create or be construed as a contract of employment. I further understand that employment, if offered, is at will and I may quit or be released without notice or reason.
I understand that, if I am offered employment, said employment is contingent upon my satisfactory completion of a drug test and background check.
I expressly authorize Sunnyside Village, its employees and agents, to contact and obtain information from all references, current or past employers, agencies and educational institutions regarding me. I hereby waive any rights and claims I may have regarding Sunnyside Village, its employees and agents for seeking, gathering and using truthful information as well as the persons, organizations or corporations furnishing information about me.
I hereby certify that the information in this application form is true and correct, and I authorize personnel representatives of this facility to contact any of my schools, former employers and other references unless otherwise stated. This is done for purposes of collecting information and an account of their experience with me.
I understand that if any information provided by me is found to be false, incomplete, or misrepresented in any respect, this will eliminate me from further consideration for employment, or may result in immediate discharge from employment with Sunnyside Village. I also understand that I will be required to successfully complete an employment health questionnaire at orientation.
I attest that I have not been excluded from providing services under Medicaid, Medicare or any federally funded programs and that I have not been convicted of or plead guilty to any abuse or neglect related crimes.
I hereby confirm that I have completed all sections of this application.
This agreement does not bind either party for any specific period regarding employment.
Electronic Signatures. Each party agrees that this Agreement and any other documents to be delivered in connection herewith may be electronically signed, and that any electronic signatures appearing on this Agreement or such other documents are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility.
By digitally signing below, you acknowledge you have read and agree to the above terms