EDUCATION

High School

College

Other Education or Special Training

WORK EXPERIENCE

Statement One:
I certify that the information on this application is correct and I understand that any misrepresentation or omission of any information will result in my disqualification from consideration for employment or, if employed, my dismissal. I understand that this is not a contract, offer, or promise of employment and that if hired, I can be terminated at will, without or without cause, with or without notice, at any time and for any reason, at the option of either River City Hospiceor myself. I further understand that no supervisor, manager, official of representative River City Hospice and its relative entities has the authority to enter into an  employment contract or make any agreement, orally or in writing, contrary to the forgiving.

Statement Two:
River City Hospice conducts pre-employment drug screens. In order for any applicant to be considered for employment, they must successfully complete a drug screen with the results reported to River City Hospice for their consideration.

River City Hospice it considering my application for employment may verify the information set forth of this application, related papers or oral interviews and obtains additional background information relating to my background. I authorize all persons, schools, companies, corporations, law-enforcement agencies and doctors to supply any information concerning my background that they may have whether or not it is on their records. I hereby released them and their company from all liability for divulging same. A photographic copy of this authorization shall be as valid as the original. If any of my given information is found to be false or misleading, I understand that I will be subject to dismissal at any time during the period of my employment without liability for wages or salary except such as may have been earned at date of such termination and I agree to hold River City Hospice and a persons name to hear it blameless in that event.

River City Hospice is an equal opportunity employer and does not discriminate in it’s recruiting, selecting at hiring procedures because of race, color, gender, religion, national origin, age, sexual orientation or disability status nor does it discriminate with regards to Veteran status.

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