Rice Medical Center - Employment Application

  • Employment Application

    Rice Medical Center and Rice Medical Associates

  • Personal Information

    All questions must be fully answered. Incomplete applications may not be considered.
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  • Position Applied For

  • Education

  • Rows

  • Licensure - Certification - Registration Information

  • Rows

  • Knowledge/Skills/Abilities (KSAs)

  • Background Information

  • PLEASE NOTE: A "YES" answer to these questions will not automatically bar you from employment. The nature, job-relatedness, severity and the date of the offenses in relation to the position for which you are applying are considered.

  • Relatives

  • Employment History

    Describe your work experience in detail, beginning with your PRESENT or most recent job. Include all employment and explain any periods of unemployment lasting more than six months. Resumes may be attached but will NOT replace completing this section.
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  • Job 1

  • Job 2

  • Job 3

  • Job 4

  • Application Certification and Authorization

  • I certify that all information I have provided in this application and any accompanying documents (including resumes and exhibits) is true, complete, and accurate to the best of my knowledge. I understand that any falsification, omission, or misrepresentation may disqualify me from further consideration or result in termination of employment, regardless of when discovered.


    I authorize Rice Medical Center / Rice Medical Associates ("the Hospital") to verify all information contained in this application, including but not limited to employment history, education, licensure, references, and criminal background. I release the Hospital and all persons, employers, schools, or organizations from any liability arising from such inquiries or the release of information.


    I understand that any conditional offer of employment is contingent upon successful completion of all pre-employment requirements, which may include: drug screening, background checks, physical assessments, and verification of qualifications. I further consent to the release of information from prior employers, educational institutions, law enforcement agencies, and others as necessary to assess my qualifications.


    I acknowledge that employment at the Hospital is at-will and not guaranteed for any specific duration. Either I or the Hospital may terminate the employment relationship at any time, with or without cause or notice. I also understand that if hired, I may be required to work variable schedules, including nights, weekends, holidays, or overtime, depending on the needs of the Hospital.


    I understand that Rice Medical Center may obtain a consumer report, in compliance with the Fair Credit Reporting Act, after a conditional offer of employment. I may be asked to complete separate forms authorizing this. I acknowledge that a credit report will only be requested if relevant to the
    position.


    I agree to comply with all Hospital policies and procedures, including any changes made during my employment. I understand that if hired, I must provide documentation to verify my identity and legal right to work in the United States, as required by federal law.


    By signing below, I confirm that I have read, understand, and agree to the terms stated in this certification.

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