I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, true and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents or in any other information provided by me as part of the hiring process, will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.
I understand that this application is not and is not intended to be a contract of employment, nor does this application obligate Friendship Village of Dublin (FVD) in any way should FVD decide to employ me. I understand and agree that my employment is at-will and can be terminated by either party with or without notice, at any time, for any reason or for no reason. No representative of FVD, other than the Executive Director, has authority to enter into any type of employment agreement with any associate. Any agreement by the Executive Director must be in writing and signed by both the Executive Director and the associate to be valid.
I understand that if offered a position with FVD, I will be required to submit to a pre-employment medical examination by a medical professional, a two-step tuberculosis test, a pre-employment drug screen, and OIG, background, and reference checks as a condition of employment. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employments tests and checks will result in withdrawal of any employment offer or termination of employment if already employed.
I hereby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to FVD and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information.
I understand that this application is considered current for six months. If I wish to be considered for employment after this period I must complete and submit a new application.
FVD is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, or veteran status.
NOTICE TO APPLICANTS: Senate Bill 160 Ohio Revised Code Disqualifiers — Ohio Revised Code 3721.121 — Conviction for any of these listed Ohio Senate Bill 160 offenses or any federal or states laws that are substantially equivalent offense disqualifies the individual who is applying for a direct care position from employment in a nursing home, adult day care program or home health agency. *Expunged and/or sealed records will be revealed under a Senate Bill 160 background check.
Have you EVER been CONVICTED of the following? Mark YES for all that apply:
I understand that falsification, misrepresentation or omission of facts will disqualify me from further consideration, or if I am hired, will lead to my immediate dismissal.
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