(Proof of citizenship or right to work status will be required at time of hire).
List all previous employers, most recent first, for whom you have worked during the last five years. Explain any lapses between times when employed. PHONE NUMBERS MUST BE LISTED.
NOTE: References will be questioned as to your temperament for working with others in meeting health care needs. They will also be called upon hire and asked to agree or disagree that you would work well in serving others in a health care setting.
MILITARY SERVICE RECORD: The hiring and re-employment of veterans will be conducted in accordance with applicable state and federal laws and regulations. The Ponce Thereapy Care Center oes not discriminate on the basis of race, color, religion, national or ethnic origin, sex, sexual orientation, age, disability, or veteran's status, in its health care delivery program(s) and activities or with regard to employment.
Space provided for you in completing Application for Employment
I hereby certify that all of the facts and information listed on my Employment Application are true and complete. I understand that any false, incomplete or misleading information given by me on this application is sufficient cause for rejection of this application. I also understand and agree that any such false, incomplete, or misleading information discovered on this application at any time after I am employed may result in my dismissal.
I hereby authorize The Ponce Therapy Care Center to investigate all statements contained in this application, to interview the references and previous employers listed to give The Ponce Therapy Care Center all the facts, opinions and evaluations concerning my previous employment and any other information they may have personal or otherwise, and release all such parties from any liability, which may allegedly arise from furnishing such information to The Ponce Therapy Care Center, including, but not limited to, any liability for defamation or invasion of privacy.
If I am offered employment, I understand that such an offer will be conditioned upon satisfactory results of a background investigation and/or company medical examination or inquiry, including a drug screen test. If then employed, I understand I will be required to service a ninety (90) day introductory period. I further understand that my employment and compensation can be terminated, with or without cause or notice, at any time, regardless of the successful completion of my introductory period, at the option of either The Ponce Therapy Care Center or of myself. I understand that no supervisor or other representative of The Ponce Therapy Care Center, other than the President of the Company, has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing.
I further understand and voluntarily agree as a condition of employment of my continued employment, that I may be requested by The Ponce Therapy Care Center to submit to a urinalysis or other drug screen test and that my failure to take such test(s) when requested to do so or unsatisfactory test results will disqualify me from consideration for employment, or if I am then employed, may result in my immediate dismissal.
I certify that I have read, understand, and agree with the above.
It is the policy of the Company to prohibit discrimination and harassment of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state and local laws. The Ponce Therapy Care Center complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruitment, employment, promotion, transfer, training, working conditions, wages and salary administration, and employee benefits.