Lady of Fatima Health Services Inc. is an organization that promotes diversity. We believe in dignity and respect for all people. We provide equal employment opportunities for all and will not discriminate on the basis of sex, race, color, age, religion, national origin, marital status, disability, or veteran status or any other characteristic protected by applicable law. If you do not understand how, to fill out any part of this application, or if you need assistance in doing so, please ask for help.
What experiences, skills, and /or qualification(s) do you have that qualify you for the position(s) you applied for?
If no, indicate which previous employer(s) you do not want us to contact and why:
Important: Read Carefully
I hereby certify that the inforn1ation provided in this application (and accompanying resume, if any) is true and complete. I understand that any false, incomplete or misleading information given by me on this form, regardless of when it is discovered1 may disqualify me from further consideration for employment and may be justification for termination of my employn1ent, if discovered at a later d ate.
I hereby authorize Fatima Health Services Inc., or its affiliates to investigate all statements contained in this application and in so doing to contact and obtain information from all references, employers, educational institutions, law enforcement agencies and any other organizations referenced in this application. I also release Fatima Health Services Inc. from any liability arising there front and release former employers and references from any liability in furnishing information pertaining to my background and work experience.
I agree to immediately notify Fatima Health Services Inc. if I should be arrested or convicted of any criminal offense while my job application is pending, or during my period of employment if hired.
I hereby agree that I have no specific rights of privacy in any property brought onto the work premises of Fatima Health Services Inc., and consent to the search of any and all personal property and items brought onto Fatima Health Services Inc. work premises. Fatima Health Services Inc. work premises includes any location (including patient residence) that I may be assigned to work by Fatima Health Services Inc.
I recognize that any offer of employment is conditioned on the satisfactory completion of all relevant aspects of my background check and a health screening, and I hereby consent to said background check and health screening.
I understand that, if employed, Fatima Health Services Inc. or I may terminate the employment relationship at any time, with or without cause, with or without notice; and that, if employed, employment does not constitute a contract of employment between Fatima Health Services Inc. and myself.
I understand that no representative of Fatima Health Services Inc., other than its Executive Director, has any authority to enter in to any agl'een1ent for employment for any specified period of time, or to make any agreement contrary to the foregoing, and that any such agreement must be in writing.