Job DetailsHarrington Memorial Hospital is an EOE/AA/ADA employer

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  9. (valid email required)
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  13. Employment History
    (Please list most recent first – may include any verified work performed on a voluntary basis)
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  16. Professional References (mailing address required)
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  26. Educational History
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  29. Professional Licenses
    (To be completed only by applicants applying for a position which requires professional licensure.)
  30. Affidavit
    I hereby certify that the answers given by me to the foregoing questions are true and correct without omissions of any kind whatsoever.

    I agree that Harrington Health System shall not be liable in any respect if my employment is terminated because of the falsity of statements, answers, or omissions made by me in this application.

    I authorize the hospitals, companies, schools, or persons named to give any information regarding my employment, together with any other information they may have regarding me whether or not it is in their records.

    I hereby release said hospitals, companies, schools, or persons from all liability for any damage for issuing this information. I also under­ stand an offer of employment will be conditional on results of a pre-placement screening and drug test as well as CORI results . In consid­ eration of my employment, I agree to conform to the rules and regulations of the Harrington Health System, and I understand that, if hired, my employment is STRICTLY AT-WILL and I can be terminated, with or without cause, and with or without notice, at any time at the option of either the Organization or myself. I understand that no one other than the Chief Executive Officer of Harrington Health System or his/her designee, 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 acknowledge that I have read and understand the above statements.

    Harrington Health System is a smoke-free workplace.
  31. Signature
  32. Date
  33. Reference Release
    I hereby authorize the release to the Human Resources departments of Harrington Hospital and Harrington Physicians Services [Harrington Health System) of any and all reference information with respect to my academic, employment and/or volunteer records including final evaluations and recommendations for future employment.
  34. Signature
  35. Date
  36. Print Name
  37. Social Security Number
  38. Attachments
  39. Reference
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