I certify that the answers given by me in the foregoing questions are true and correct without consequential omissions of any kind whatsoever. I agree that my employer shall not be liable in any respect if my employment is terminated because of falsifying statements, answers or omissions made by me in this application. If I am extended an offer of employment with Hospice of Davidson County, I understand I will be required to successfully pass a pre-employment screening.
I authorize Hospice of Davidson County to conduct or investigate the following pre-employment screening and test which may include but not be limited to: drug test, criminal background check, motor vehicle record, education vertification, employment history, credit report and personal history. I hereby release my employers, schools or persons named above from all liability for any damages, both legal and otherwise, for issuing this information.
I fully understand that if I fail any pre-employment screening or test, the offer of employment will be withdrawn.
If accepted for employment, I hereby agree to abide by the rules and policies of Hospice of Davidson County. Further, I understand that any employment is not for a stated period of time and may be terminated with or without cause, at any time, at the option of either my employer or myself.
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.