I certify that all information I have supplied on this application is accurate and complete. I understand that any wrong or incomplete information on this application can lead to my not being hired or if I am hired, to my termination from employment, if discovered after hire.
This application is current for only 180 days. If after 180 days, I have not heard from FCHC and I still wish to be considered for employment, I must fill out a new application.
I understand that it is FCHC's policy not to refuse to hire a qualified individual with a disability because of that person's need for reasonable accommodation as required by the ADA.
FCHC does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local, state, or federal law.
I understand that nothing in this application, or in any prior or subsequent written or oral statements, creates
a contract of employment or any rights in the nature of a contract. I agree and understand that if I am hired by Falls Community Hospital and Clinic (FCHC), my employment will be at-will, for an indefinite period of time, and may be terminated at any time, with or without cause or notice, at the option of FCHC or myself. I understand that I have the right to end my employment at any time and that FCHC retains that same right. I also understand that no one has the authority to enter into any contract, agreement, or modification of the foregoing unless such contract, agreement, or modification is in writing and signed by the Administrator of FCHC.
I agree to immediately notify Falls Community Hospital and Clinic if I am convicted or receive deferred adjudication in or otherwise plead guilty or no contest to a felony or any crime involving dishonesty or breach of trust; while, my application is pending or during my period of employment, if hired.
Falls Community Hospital and Clinic does have worker's compensation insurance coverage to protect you from damages because of work-related illness or injury.
Falls Community Hospital and Clinic esta cubierto por asequranza de compensacion al trabajador para protegerlo/la de danos causados por enfermedad o lesiones relacionados a su empleo.
If I am offered a position with FCHC:
I understand that I will be required to provide proof of identity and legal work authorization.
I give FCHC the right to contact and obtain information from all references, employers, educational institutions, and to otherwise verify the accuracy of the information contained in this application. I hereby release from liability FCHC and its representatives fro seeking, gathering, and using such information and all other persons, corporations, or organizations for furnishing such information.
I understand that I am responsible for submitting required official records, transcripts, certificates, and licenses.
I understand that a physical examination must be taken and satisfactorily passed prior to reporting to duty.
Falls Community Hospital and Clinic is a Drug-Free Workplace. I understand that one of the components of preemployment medical evaluation is a urine screen for drugs. I further understand that failure to consent to this urine drug screen will be considered withdrawal of my application for employment.
I understand that I WILL be required to provide a urine sample for drugs/alcohol for any on-the-job injury or accident (as defined in the FCHC Drug Free Workplace Policy).
I understand that I may be required to provide a urine screen for drugs as required by the Administrator or their designee (as defined in the Employee Policy Manual).
I certify that I do not have any detectable amounts of prohibited substances in my system at the time of taking my pre-employment drug screen. I understand that if my drug screen is positive for a prohibited substance, I will not be eligible for hire, or if I am hired pending the outcome of such a test; I will be subject to immediate termination.
I represent and declare that I have read and fully understand the foregoing and seek employment under