Please Read Carefully and Sign
DRUG TESTING POLICY: Black River Memorial Hospital is committed to maintaining an environment which is free from the influence of illegal drugs and alcohol to protect the health, safety and well-being of our patients, employees, and visitors. We reserve the right to test for the presence of illegal drugs in situations where a reasonable suspicion of usage exists as well as post-offer, pre-employment.
I understand that the information on this application has been requested for the purpose of evaluating my qualifications for employment. This application and any other documents presented to me in the course of applying for a position with Black River Memorial Hospital is not a contract or promise of employment. I also understand that if I am hired, I will be an employee at will, which means that I may leave my employment voluntarily at any time for any reason. I understand that any oral or written statements to the contrary are not binding on Black River Memorial Hospital and that I may not rely upon them.
I authorize all schools and other educational institutions I have attended to provide Black River Memorial Hospital with all information which it seeks related to the dates of my attendance, the degrees I have named, the courses I have taken, my grades and related matters. I waive and release any and all claims I may have against these institutions as a result of their compliance with Black River Memorial Hospital's request.
I agree to any and all pre-placement assessment(s) as may be deemed necessary by Black River Memorial Hospital, and further understand that my employment is contingent upon my completion of the hospital pre-employment assessment.
I understand that any false statements, omission of facts or misrepresentations in connection with my application form may be sufficient cause, in and of itself, to disqualify me for employment or cause my dismissal from employment whenever discovered.
I further understand that my employment is contingent upon providing proof of eligibility to work in the United States.
Click here to read the Employee Standards of Conduct (opens in a new window) and then check the box below.