Employment Application

I certify that all information contained in this application is true, and understand that any misleading or false information or willful omission will be sufficient cause for immediate dismissal or refusal of employment.

I understand that all information in this application is subject to verification and that St. Gerard’s Community of Care may investigate my work and personal history and verify all data given on this application, on related papers and interviews.

By my signature below I consent to a criminal to a criminal history background check. I also authorize all individuals, schools, businesses , employers (past and present), and references herein, except my current employer IF SO NOTED, to provide any information requested about me, and I release them from all liability for damage in providing this information.

I further understand that employment is “at will” and that nothing contained in this employment application or statements made during the interview process (if an interview is granted) are intended to create an employment contract between St. Gerard’s Community of Care and myself for either employment or for the provision of any benefit for myself.

I also understand that St. Gerard’s Community of Care may require a pre-employment drug and alcohol testing. No prospective employee will be asked to submit to testing unless an offer of employment has been made. An offer of employment could be conditioned on the prospective employee testing negative for illegal drugs and alcohol. I understand and agree to submit to the required pre-employment testing, if an offer of employment is made to me.

I acknowledge and understand that I am required to immediately notify St. Gerard’s Community of Care if any action is proposed to exclude me from participation in any federal or state Medicare, Medicaid or third-party payor program.