- Any misstatement or omission of fact on this application may result in my dismissal;
- I must submit acceptable evidence of my right to work in the United States:
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- Our facilities are tobacco-free and use of all tobacco products is prohibited on company property.
- Our facilities are drug free workplaces. I may be asked and I must take and pass a pre-employment drug test that screens for illegal drugs, and unauthorized controlled substances; remain free of illegal drugs, alcohol, abusive levels of prescription drugs at work; and comply with the Drug and Alcohol Use/Abuse Workplace policies.
- I understand that refusal to submit to a drug test due to reasonable suspicion, or failing a drug test is grounds for termination.
- Any personal property carried by me, to and from the hospital, including my handbag, briefcase or packages, may be inspected by authorized hospital personnel. I understand that any storage area provided to me on hospital property may be inspected by the hospital.
- I will be required to comply with all hospital and corporate policies and procedures.
- I authorize this application to be viewed by any affiliated corporations.
- I agree to notify the organization in writing within five to seven (5-7) days of receiving any written or oral notice of any adverse action, including, without limitation, exclusion from participation in any federal or state health care or procurement programs, any filed and served malpractive suit or arbitration action; any adverse action by a state licensing board; a conviction of any felony or a misdemeanor of moral turpitude; any action against any certification under Medicare or Medicaid programs; or any cancellation, non renewal or material reduction in medical liability insurance policy coverage. Also understand that I am required to report such conduct to the Director of Human Resources.
- I understand that Arkansas Continued Care Hospital is an employer at will, which means that my employment is not for definite term and that either the hospital or I will have the right to terminate the employment relationiship at any time, with or without cause or notice. I also understand that this tatus can only be altered by a written contract of employment that is specific as to all material terms and is signed by ther Arkansas Contued Care Hospital President and me.
- Upon termination, to return in good condition any company property issued to me or to allow for the value of same, plus any outstanding accounts, to be deducted from my wages.
- I hereby authorize Arkansas Continued Care Hospital to confirm the information that appears in my application for employment and authorize all former employers, universities or colleges, references, credit and government agencies, or other persons, firms, corporations and institutions to provide such information to Arkansas Continued Care Hospital withot delay.
As required by the Fair Credit Reporting Act, notice is give that a consumer report may be made in connection with your application of employment. A consumer report may consist of employment records, educational verification, licensure verification, driving history, previous addresses, and other public records relative to criminal charges. A credit report will not be requested unless it is deemed pertinent to the functions of the position for which you are applying.
If you are denied employment, either wholly or partly, because of the information contained in a consumer report, a disclosure will be made to you of the name and address of the consumer reporting agency making such a report.
