Background Information


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Applicant's Statement

I certify that the information contained in this application is true, complete and correct to the best of my knowledge. I understand that any omission of fact or misrepresentation is cause for denial of employment and/or dismissal from employment. I authorize investigation of my background and all statements made on this application or in any pre-employment interview, including, but not limited to my employment record, personal references, school record and police record, if any. I understand that this application for employment shall be considered active for the position currently open. If I wish to be considered for another position, I understand that I will need to reapply at that time. I understand that neither this document nor any offer of employment from Peoples Community Health Clinic, Inc. constitutes an employment contract unless a specific document to that effect is executed in writing by the Chief Executive Officer (CEO) of the organization. I understand that if I am offered a job I must successfully complete a physical assessment and drug screen prior to my employment. This will be provided by Peoples Community Health Clinic, Inc. at no charge to me. I understand that just as I am free to resign at any time if I am employed, the employer reserves the right to end my employment at any time with or without notice or cause.
By typing your name into the box above, you are acknowledging that the information you provided on this application is true, to the best of your knowledge.