By submitting this form, I certify that the answers and information set out above are true, accurate, and complete to the best of my knowledge. I acknowledge that if any answer or information is not true, accurate, or complete, I may not be hired, or if hired, I may be discharged. I authorize Crawford County Memorial Hospital to investigate all statements contained in this application for employment and to investigate my character and qualifications to include criminal, child and dependent adult abuse information in accordance with Iowa law. I authorize my prior employers, references, and others with information regarding my work, educational history or my character, to provide Crawford County Memorial Hospital with all requested information and references, and to cooperate fully with the investigation of my character and qualifications.
I understand that this application is not a contract of employment. I also acknowledge that no oral representations have been made, and that no one within Crawford County Memorial Hospital has the authority to make oral contracts of employment. If hired, my employment relationship with Crawford County Memorial Hospital is terminable at-will, with or without cause, by either myself or Crawford County Memorial Hospital.
I also understand that my employment may be conditioned upon a favorable criminal background check and health examination which may include a drug screen and a medical examination by a physician selected by this employer, to which I hereby consent.
I understand that if I am hired, I will be required to identify a financial institute into which my payroll checks will be electronically deposited each pay period.
Crawford County Memorial Hospital is committed to providing a healthy and comfortable, and productive environment. In the event that I am hired as an employee of Crawford County Memorial Hospital, I acknowledge and abide by Crawford County Memorial Hospital’s “Tobacco-Free Environment” Policy. I understand that the use of tobacco products is strictly prohibited anywhere on the campus of Crawford County Memorial Hospital.
I understand and agree to all the conditions and statements set forth above, and throughout this application.