I hereby state that the information given by me in this application is true in all respects. I understand that if I am offered employment and River Park Hospital learns that any information I provided was incomplete, inaccurate or misleading in any respect, then I will be subject to dismissal without notice at any time.
In making application for employment, I understand that River Park Hospital may obtain an investigative report from a consumer reporting agency which may include information regarding my character, general reputation, personal characteristics, mode of living, and criminal background, if any. I understand that I will have the right to make a written request for a complete and accurate disclosure of the nature and scope of the investigation and its results.
I understand that River Park Hospital requires a post-offer, pre-employment health and drug / alcohol screening which includes blood tests and urinalysis. I understand that River Park Hospital reserves the right to inspect bags (including purses or briefcases) or parcels brought into or taken out of the facility. I further understand that as an employee, I may be required to submit to such testing and/or search, at any time, and refusal to submit to required testing may result in termination of my employment. I further understand that River Park Hospital reserves the right to search any locker or office to which I may be assigned and to review any electronic mail, faxes or other correspondence I may send or receive while employed at River Park Hospital.
I understand and agree that any employee handbook or policy manual which I may receive or have access to does not constitute an employment contract or promise regarding the length or terms of my employment. River Park Hospital reserves the right to change or revoke any employee handbook or policy without notice to its employees, such policies or handbooks serves merely as a general guide regarding River Park Hospital's current expectations. I understand and agree that if I am offered employment by River Park Hospital, my employment will be "at-will" which means that it is for no definite term and that either I, or River Park Hospital, will have the right to terminate the employment relationship at any time, with or without cause, and with or without notice. I also understand that this status can only be altered by a written contract of employment which is specific as to all material terms and is signed by me and the CEO of River Park Hospital.
AUTHORIZATION AND GENERAL RELEASE FOR REFERENCE CHECK
I hereby authorize my former employer(s) and any references to release information pertaining to my work record, my work habits, and my work performance while in their employ, if applicable. I hereby authorize River Park Hospital, its parent company and affiliated entities, and any of their employees or agents, to request and receive information and records concerning me, including but not limited to criminal record history, employment, military and educational data and reports, from any individuals, corporations, partnerships, associations, institutions, schools, governmental agencies and departments, courts, law enforcement and licensing agencies, and other entities, including my present and previous employer(s). I further release and hold harmless River Park Hospital, its parent company and affiliated entities, and their respective directors, officers, representatives, or agents, and all individuals and personal, business, private or public entities of any kind, from any and all claims of liability arising out of any request(s) for, or receipt of, information or records pursuant to this authorization, or arising out of any compliance, or attempted compliance, with such request(s) made in good faith. I also authorize the procurement of an investigative report and understand that it may contain information about my character, general reputation, and personal characteristics. I hereby declare that a photocopy of this authorization shall be as binding as the original. This authorization shall remain in effect until revoked by me in writing, sent and received by River Park Hospital's Department of Human Resources. I hereby release River Park Hospital from any claim for liability for action taken based on a good faith reliance on this authorization.
BY HITTING THE SUBMIT BUTTON BELOW I AGREE TO ALL THE ABOVE TERMS.
