Application Review
Notification
Applicant Privacy Notice to California Residents
Applicant Statement
I certify that all information I have provided in order to apply for and secure work with Prospect Medical and its family of companies is true, and correct.
I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer's service, whenever it is discovered.
I acknowledge that in connection with my application for employment or subsequent employment, Prospect Medical and its family of companies may collect, assemble, evaluate, compile, report, transmit, transfer or communicate information on my character, general reputation, personal characteristics or mode of living which are matters of public record without using a third party investigative consumer reporting agency, except that no information relating to my criminal background (if any) may be collected, assembled, evaluated, compiled, reported, transmitted, transferred or communicated until after a conditional offer of employment has been made. Matters of public record are defined as records documenting an arrest, indictment, conviction, civil judicial action, tax lien or outstanding judgment.
I expressly authorize, without reservation, Prospect Medical, its representatives, employees or agents to contact and obtain information from all references (personal or professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview, except that no persons may be contacted, and no information may be obtained, relating to my criminal background (if any), until after a conditional offer of employment has been made. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me, except for any rights and claims regarding information relating to my criminal background (if any) that was obtained prior to a conditional offer of employment..
I understand that such public record information generally must be disclosed to me within seven days of the date the information is received, regardless of whether it is received orally or in writing. I understand that I may waive my right to receive such information.
By signing below I hereby waive my right to any such disclosure, except for any disclosures relating to my criminal background (if any) that are required to be disclosed pursuant to applicable laws.
I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment at any time, with or without cause and with or without notice. The Company's policy is that employment is "at will,” meaning that either you or the Company can terminate the employment relationship at any time and for any reason. I understand that Prospect medical and its family of companies reserves the right to change my position, title, pay, benefits and other terms and conditions of employment at any time with or without notice. I also agree that any dispute as a result of employment will be resolved through binding arbitration.
To meet the spirit and intent of the Drug Free Workplace Act of 1988, Prospect Medical and its family of companies may require candidates who receive job offers to pass a drug screen and when applicable, a physical examination prior to their start date. All Prospect Medical and its family of companies' buildings are designated as non-smoking areas.
I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.
DO NOT SUBMIT UNTIL YOU HAVE READ AND AGREED TO THE ABOVE APPLICANT STATEMENT.
I certify that I have read, fully understand and accept all terms for the foregoing Applicant Statement.
Candidate Sign Off
I certify that all of the information in this application is true and correct as of this date.
