I certify that there are no willful misrepresentations, omissions or
falsifications of the information provided on this application of employment. I
understand that initial and continued employment depends on the truth and
accuracy of this information and any misrepresentation will result in denial of
employment or immediate termination of employment regardless of when or how
discovered. I agree to submit to a physical examination after an offer of
employment has been made, which may include drug screening for illegal drugs.
I authorize the investigation of all matters which Pacific
Alliance Medical Center deems relevant to my qualifications for employment. I
authorize Pacific Alliance Medical Center to request and receive such
information and I release from all liability any persons or employers supplying
it. I also release Pacific Alliance Medical Center, its officers and
representatives from all liability that might result from making the
Application of employment agreement: I
understand that the employment relationship at Pacific Alliance Medical Center
is on an at-will basis and that if I am hired, I or PAMC may end the employment
relationship at any time with or without cause with or without notice. I
further understand that this provision may be modified only by the Chief
Executive Officer with a signed statement specifying the specific period of
TO EMPLOYMENT APPLICANTS
As part of Pacific Alliance Medical Center's hiring process,
we will be checking your references. We may contact persons whom you have identified to us as potential references and we
may also contact your other friends, acquaintances, business associates, as well as anyone else who may know something about you.
When we contact a reference, we may ask him or her questions about your personal background, educational background, work
experience, character, personality, and personal habits. We may use an outside firm to check references. If we do, under the
Federal Fair Credit Reporting Act, we are required, upon your written request, to provide you with the name and address of the firm
that is checking your references so that you may contact it for further information.
I have read and fully understand the foregoing. I hereby voluntarily consent to allow
Pacific Alliance Medical Center and/or any of its officers, employees, agents, or designee to check my references by contracting any
person whom they deem to be an appropriate reference to ask any questions which any authorized individual working on behalf of PAMC may
consider relevant to their hiring decision, including questions about my personal background, educational background, work experience,
character, personality, and personal habits.