This agency does not discriminate in hiring based on race, color, sex, citizenship, national origin, ancestry, Vietnam era veteran status, age, physical, or mental disability. No information requested on this application is intended to secure information to be used for such discrimination.
I voluntarily give this agency the right to make a thorough investigation of my past employment and activities. I also agree to cooperate in such investigation and release from liability or responsibility all persons companies or corporations supplying such information. I understand that my employment may be contingent on the completion of the pre-employment requirements (Live Scan, HCA Registration and Clearance, current CPR card, TB Test/Chest X-ray (completed within last 90 days, auto insurance, valid proof of identification, DMV Report, Human Resource Orientation and Safety Training) as these relate to the essential duties that I would be required to perform.
I understand that my employment is at will; either party is free to terminate the employment relationship at any time without cause. I also understand that my employment may be terminated for any misstatement or omission of fact appearing on this application form. If employed, I will be required to present satisfactory evidence of identity and eligibility of employment and complete an Employment Verification Form (I-9).