Employment Application Form

General Information

Position

Education

College, Business, Vocational School (Most recent first)

Work Experience




References (Provide three professional references)

How did you hear about this position?

I hereby certify that all entries in this application and any attachments are true and complete, and I agree and understand that any falsification or omission of information herein, regardless of time of discovery, may cause forfeiture on my part of any employment. I understand that all information in this application is subject to verification and I consent to any investigation of my personal history including but not limited to employment and education. I also understand that a credit check will be required if position for employment is of a financial nature or one with access to the personal financial information of another person. I also consent that the employer may contact references, former employers and education institutions listed regarding this application. I further authorize the employer to rely upon and use, as it sees fit, any information received from such contacts. I further understand that this application is not, and is not intended to be, a contract of employment, nor does this application obligate the employer in any way if the employer decides to employ me. My employment is not for any specific length of time. The relationship is and will always be one of voluntary employment "at-will". I am free to resign at any time, with or without notice for any reason or no reason. Similarly, the company is free to conclude an employment relationship at any time it believes it is in the company's best interest to do so with or without notice, for any reason or no reason. Reno Diagnostic Centers is an equal opportunity employer and is firmly committed to the policy of non-discrimination, equal opportunity and reasonable accommodation in employment.

I understand that all information in this application is subject to verification and I consent to any investigation of my personal history including but not limited to employment and education. I also understand that a credit check will be required if position for employment is of a financial nature or one with access to the personal financial information of another person. I also consent that the employer may contact references, former employers and education institutions listed regarding this application. I further authorize the employer to rely upon and use, as it sees fit, any information received from such contacts.

I further understand that this application is not, and is not intended to be, a contract of employment, nor does this application obligate the employer in any way if the employer decides to employ me. My employment is not for any specific length of time. The relationship is and will always be one of voluntary employment "at-will". I am free to resign at any time, with or without notice for any reason or no reason. Similarly, the company is free to conclude an employment relationship at any time it believes it is in the company's best interest to do so with or without notice, for any reason or no reason.

Reno Diagnostic Centers is an equal opportunity employer and is firmly committed to the policy of non-discrimination, equal opportunity and reasonable accommodation in employment.