APPLICATION FOR EMPLOYMENT
Family Care Health Centers (FCHC) considers all applicants for employment without regard to race, color, religion, sex national origin, age, disability, sexual orientation, gender identity or veteran status, in accordance with federal law. In addition, FCHC complies with applicable state and local laws prohibiting discrimination in employment in every jurisdiction in which it maintains facilities.
*A conviction record will not necessarily be a bar to employment. This information will be used for job-related purposes and only to the extent permitted by law.
(please list most recent position first)
Pre - Employment Statement
(Please Read and Sign the statement below)
I understand and agree that:
1. The information that I have provided on this application is true and complete to the best of my knowledge. Any misreprenstation or omission of any fact in my application, resume, or any other materials, or during any interviews, can be justification for refusal to consider my application further, or, if employed, termination from Family Care Health Centers' employ.
2. Any offer of employment I may receive from Family Care Health Centers is contingent upon my successful completion of the company's total pre-employment screening process, including the company's receiving references that it considers satisfactory, and my satisfactory completion of my physical examination that the Center may require.
3. I understand that as a condition of employment I may be required to undergo and successfully pass a screening for alcohol, and/or drugs. I also understand and agree that, if employed, I may be required to submit to alcohol and drug screening as set forth in Family Care Health Centers' Substance Abuse Policy.
4. In Processing my application for employment, Family Care Health Centers may conduct a background screening.
5. I authorize and request that all of my present and former employers furnish information about my employment record, including a statement of the reason for the termination of my employment, work performance, abilities, and other qualities pertinent to my qualifications for employment, and I hereby release requested information.
6. In consideration of my employment, I agree to comply with the policies, rules, regulations, and procedures of the company. I understand that FCHC requires certain vaccinations, Including Covid and Influenza, and that I must be vaccinated absent a medical or religious exemption. Other vaccines may be required. I understand that my employment and compensation can be terminated with or without cause of notice, at any time, at the option of either the Center or myself. I further understand that no manager or representative of the Center, other than the Chief Executive Officer or his/her representative, has any authority to enter into any agreement with me for employment for any specified period of time or to make any agreement different from or contrary to the foregoing.