This form is intended for use in evaluating your qualifications for employment. Please answer all questions completely and accurately. False or misleading statements on this form and during the interview are grounds for terminating the application process or, if discovered after employment commences, terminating employment. Safe Harbor Community LLC is an equal opportunity employer and does not discriminate based on gender, race, age, creed, marital status, pregnancy, sexual orientation, national origin, religion, veteran status, presence of disabilities, and any other status protected by law. Upon hiring, you must provide a current statement of good health from your physician including a recent negative tuberculosis (TB) test.
hereby authorize SAFE HARBOR COMMUNITY, LLC to request and receive from all prior employers within one year of the date of this application, any and all pertinent information to my prior employment and its termination, including the reasons for such terminations. I authorize the company and/or its agents, including consumer reporting bureaus, to verify any of this information including, but not limited to, criminal history and motor vehicle driving records, and all schooling and references. I agree to indemnify and hold harmless SAFE HARBOR COMMUNITY, LLC and any of its agents or employees from all liability, which may flow from the release of such information.
I understand that if I am hired my employment will be on an at-will, per-diem basis, for no definite term. Hours cannot be guaranteed and are subject to change. As such, I understand that I will enjoy the right to terminate my employment at any time. SAFE HARBOR COMMUNITY, LLC may also terminate my employment at any time with or without cause and/or prior notice. I further acknowledge that if offered employment I will be expected to learn and abide by all Company rules, policies, and procedures. I also understand that the use of illegal drugs is strictly prohibited while employed by SAFE HARBOR COMMUNITY, LLC and I am willing to submit to random drug testing to detect the use of illegal drugs prior to and during employment. Nothing contained in this employment application or in the granting of an interview is intended or designed to constitute an offer of employment or an employment contract between SAFE HARBOR COMMUNITY, LLC and myself.
I hereby state that all the foregoing information I have supplied in this application is a true and a complete statement of the facts. I understand that false statements contained in this application are immediate cause for dismissal.
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