Job Application Form

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.