• Employment Application

    Employment Application

  •  -
  • Date of Birth*
     - -
  • Check one *
  • Date available to start work*
     - -
  • I can speak english: *
  • I am a U.S. Citizen or am authorized to work in th U.S. on an unrestricted basis:*
  • Have you ever been convicted of a felony?*
  • Have you ever been convicted, involved, or currently in a pending resolution of ANY criminal offence related to HEALTH CARE?*
  • Do you have a current driver's license?*
  • Do you have reliable transportation?*
  • Rows

  • Education History

  • High School

  • Graduated *

  • College

    (If none, type "n/a")
  • Graduated

  • Other Education

  • Employment History

  • Most Recent Employer

    (if none, type n/a)
  • Rows

  • Second Most Recent Employer

  • Rows
  • Are you willing to allow GSO to conduct a background check?Selecting "yes" gives GSO and/or its agents to contact your references, and otherwise conduct an investigation into your background, including, without limitation, information related to your character, job performance and work habits, motor vehicle and criminal records, verification of education and licenses/certifications, employment verification and verification of submitted application form. Selecting "yes" releases GSO and its agents and those contacted by GSO and/or its agents from any liability associated with such investigation. Selecting "yes" also means that you understand that you may be refused employment on the basis of information received as the result of any investigation into your background.*
  • Are you willing to abide by GSO's professional dress code?The employee agrees to follow GSO's dress or uniform code. Everyone is expected to be well-groomed and wear clean clothing free of holes, tears, or other signs of wear. Employee must maintain neat clean hair and neat facial hair (when applicable). For the safety of patients, no strong perfumes, body sprays, or colognes are permitted. Clothing with offensive or inappropriate designs or stamps is not allowed. Clothing should be modest and not revealing. Short skirts, short dresses, tank tops, low-cut shirts, braless appearance, exposed cleavage, sleeveless shirts, halter tops, spaghetti straps, crop tops, and low-cut pants are not permitted. Tattoos should be covered to the best of the employee's ability. Body piercings must be limited to earrings and/or a nose stud. Nose rings are not permitted. Socks and closed-toe shoes must be worn. Open-toe shoes are not permitted.*
  • Position(s) you are applying for? Select any you are interested in. It is okay to select more than one area of interest.*
  • Skills/Experience (Check any that apply to you)*

  • Valuable Personal Skills (Check any that apply to you)*
  • Certifications (Check any that apply to you)*

  • Can you perform the essential job with or without reasonable accommodation?*
  • Do you understand that due to the nature of the services we provide, an exceptional record of attendance, promptness, and dependability is required of all GSO employees?*
  • Do you understand that employment is contingent upon satisfactory experience and/or education, prior employment and reference verifications?*
  • I understand that this employment application or the granting of an oral interview does not constitute a contract of employment or a promise of future benefits by GSO.*
  • I also understand and agree that if hired, my employment will be for no specific duration, will be at-will in nature, and may be terminated, with or without cause, at any time by either myself or my employer.*
  • In the event of my employment with GSO, I agree to abide by all established rules and procedures and GSO's Employee Handbook. I also understand that that such rules and procedures will be changed and updated on a regular basis.*
  • Do you understand that the first few months of employment at GSO will be considered an initial employment period and/or adaptation and that employment may be terminated during this period by either the employee and/or the employer without prejudice and with no eligibility for accrued or severance pay?*
  • I agree that in the event of a working injury, GSO has my consent for treatment.*
  • In the event that I am photographed during the course of my employment, GSO has my permission to use any and all photos for various purposes.*
  • I agree to release and hold harmless GSO and/or its agents and any person or organization providing information to them from any claims I may have, now or in the future, relating in any manner to giving or receiving this information, including without limitation, claims for slander, defamation and wrongful termination.*
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  • GSO is an Equal Opportunity Employer. Our policy is clear: there shall be no discrimination on the basis of age, disability, sex, race, religion or belief, gender, marriage/civil partnership, pregnancy/maternity, or sexual orientation.

    We are an inclusive organization and actively promote equality of opportunity for all with the right mix of talent, skills and potential. We welcome all applications from a wide range of candidates. Selection for roles will be based on individual merit alone.

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