APPLICANT ACKNOWLEDGEMENT AND AUTHORIZATION
*PLEASE READ CAREFULLY BEFORE SIGNING*
I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.
I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by Foot & Ankle Physicians of Ohio that such employment with Foot & Ankle Physicians of Ohio is at will, for no specified duration and may be terminated by either] or Foot & Ankle Physicians of Ohio myself at any time, with or without cause or notice. I understand that none of the documents, policies, procedures, actions, statements of Foot & Ankle Physicians of Ohio or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of Foot & Ankle Physicians of Ohio except the President has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by the President of Foot & Ankle Physicians of Ohio.
In consideration for employment with Foot & Ankle Physicians of Ohio, if employed, I agree to conform to the rules, regulations, policies and procedures of Foot & Ankle Physicians of Ohio at all times and understand that such obedience is a condition of employment. I understand that due to the nature of Foot & Ankle Physicians of Ohio business, attendance and punctuality are considered essential requirements of every jobat Foot & Ankle Physicians of Ohio and that poor attendance or tardiness will result in disciplinary action.
I understand that if offered a position with Foot & Ankle Physicians of Ohio, I may be required to submit to a pre-employment medical examination, drug screening and background check as a condition of employment. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employments tests and checks will result in withdrawal of any employment offer or termination of employment if already employed.
I hereby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to Foot & Ankle Physicians of Ohio and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information.
I understand that this application is considered current for three months. If I wish to be considered for employment after this period I must fill out and submit a new application.
BY SIGNING BELOW I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.