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Start with your current or most recent position

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

IMPORTANT, PLEASE READ AND SIGN

I understand that failure to reveal any prior employer, or giving false or misleading information by me on any part of this Application for Employment can result in disqualification for employment consideration or, if hired, may be grounds for termination from the company or its subsidiaries. I understand that if I am hired, my employment is for no definite time and may be terminated at any time without prior notice.

By signing below, I authorize Fairfield Hospital District/dba Freestone Medical Center, (also referred to as “the Company” for the purposes of this agreement), to order my background check, including investigative consumer reports. I understand that, as allowed by law, the Company may rely on this authorization to order additional background reports without asking me for my authorization again at any time during my employment.

I also authorize all of the following to disclose to the consumer reporting agency and its agents all information about or concerning me, as allowed by law, including but not limited to: my past or present employers; learning institutions, including colleges and universities; law enforcement and all other federal, state and local agencies; federal, state and local courts; the military; credit bureaus; testing facilities; motor vehicle records agencies; all other private and public sector repositories of information; and any other person, organization or agency with any information about or concerning me. The information that can be disclosed to the consumer reporting agency and its agents, as allowed by law, includes but is not limited to: information concerning my employment and earnings history; education; credit history; motor vehicle history; criminal history; military service; and professional credentials and licenses.

FOR IDENTIFICATION PURPOSES ONLY