I verify that the information I have provided in this application (an accompanying resume, if any) is true and complete to the best of my knowledge. I understand that any falsified, misrepresented, incomplete or omitted information may disqualify me from consideration for employment or result in my dismissal from employment when discovered.
I understand that nothing contained in this employment application, or in granting an interview, is intended to create an expressed or implied contract between Mid-Delta Home Health and Hospice and me. No promises regarding my employment or duration of employment have been made to me.
I understand that any offer of employment will be conditional on successful completion of a number of pre-employment requirements, including if applicable a pre-employment drug screening, a health statement (post-offer), verification of credentials and experience, attendance at a general orientation program and any other requirements specified by Mid-Delta Home Health and Hospice. I understand that if any employment relationship is established, either Mid-Delta Home Health and Hospice or I have the right to terminate the relationship at any time for any reason consistent with company policy.
By submitting this application, I authorize Mid-Delta Home Health and Hospice or their representatives to investigate and verify any and all the information contained in the employment application, including criminal background and inquiry into the OIG (Office of Inspector General) sanction list. I also authorize all previous employers, schools, organizations and individuals listed herein to verify any and all information I have provided and to give any additional information in response to reference questions intended to determine my suitability for employment. I hereby release all investigators, previous employers, schools, organizations, individuals and Mid-Delta Home Health and Hospice from any liability for providing or receiving such information.