I certify that the information in this application is true and complete and acknowledge it may be verified by the facility or any of it's affiliate(s). If the information provided is false, incomplete or contains misrepresentations, I understand and agree that the facility or its affiliates are relieved of all commitments, financial or otherwise pertinent to employment, and that I am subject to immediate discharge without recourse. I understand that an investigative report may be made by a consumer reporting agency to include information as to my character, general reputation, personal characteristics, and mode of living, whichever may be applicable. If such an investigative report is made, I understand that I will receive notice that such report has been requested, and that I will have the right to make a written request for a complete and accurate disclosure of additional information concerning the nature and scope of the investigation. This hospital requires that every newly hired employee be free of alcohol or drug abuse. Each offer of employment is contingent upon successfully completing a screening for alcohol and drugs in accordance with hospital policy. Continued employment is also contingent upon compliance with the hospital's Substance Abuse Policy. I agree to immediately disclose to the Company any debarment, suspension, exclusion or other event that makes me ineligible to participate in any Federal health care program, or receive a government contract.

I understand and agree that if I am offered employment by the facility, nothing in this application, nor any other communications by a representative of the facility, is intended to create a contract of employment or otherwise create any contractual obligations with respect to my employment. Subject to applicable law, I will be employed at will, and nothing in this application shall be construed to contradict, limit, or otherwise affect my right or the facility’s right to terminate the employment relationship at any time with or without notice or cause. I understand that this status can only be altered by a valid written employment agreement or collective bargaining agreement that is signed by both a duly authorized representative of the facility and me or my duly authorized collective bargaining representative. I also understand that if I am a party to a valid written employment agreement or collective bargaining agreement containing contractual obligations that conflict with this at-will employment relationship, the contractual terms of those agreements will control.

Any offer of employment I may receive from the facility is contingent upon my successful completion of the facility's total pre-employment screening process, including the receipt of references that the facility considers satisfactory, and my satisfactory completion of any post offer pre-employment medical examination that the company may require. I also agree, if employed, to submit to a medical examination at any time at the facility's request. I hereby consent to having the results of any post offer pre-employment or post employment medical exams I may be required to take, disclosed to the facility. All employment decisions are based upon the qualifications of each applicant. This facility does not discriminate against any employee or applicant because of race, religion, color, national origin, sex, physical handicap, or age.

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