Please Read Carefully and Sign Below
I hereby certify that all of the foregoing information I have supplied in this application is correct and complete. I hereby authorize Dela Rama Dental (“the Practice”) to verify the information provided. I understand that any falsification or material omission of information will constitute grounds for withdrawal of any employment offer or termination of employment. I give the Practice permission to contact each of my previous employers and references, and hereby release the Practice from any and all liability for doing so.
I also understand that all offers of employment are conditioned upon satisfactory completion of reference and/or background checks, and the submission of valid documentation that confirms my identity and authorization to work in the United States. If I receive a conditional offer of employment I may be asked to provide information regarding any criminal convictions, which are not necessarily a bar to employment, but will be considered in a manner consistent with all applicable law. The Practice will also consider factors such as the nature of the crime, the time elapsed, and the nature of the job.
If hired, and in consideration of my employment, I agree to comply with the Practice’s rules, policies and procedures.
I understand that employment with the Practice is “at will”, which means that both the Practice and I may terminate my employment at any time, with or without cause or prior notice. In addition, the Practice may change my position, duties, schedule and/or compensation, and may transfer, reassign, promote, demote, suspend or otherwise change the terms and conditions of my employment (other than the at-will relationship), with or without cause or prior notice. I further understand that no one has any authority to enter into an agreement of employment with the Practice for any specified time period, or to make any agreement contrary to the foregoing unless in a writing signed by Dr. Andrew Dela Rama.