Employment Application

Maverick County Hospital District Employment Application

Employment Application Form

Personal

Educational Skills

Professional Licenses

Professional Certifications

Language

Previous Experience

References

List at least three (3) references who are not relatives or current employees of this organization:

Resume

Signature

CAREFULLY READ THIS SECTION PRIOR TO PROVIDING SIGNATURE BELOW
I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete. I understand that any false or misleading representations or omissions made on the application or during the hiring process may disqualify me from further considerations for employment and may result in discharge even if discovered at a later date.
I understand that employment may be conditioned upon successfully passing a medical examination and that I may be required to satisfactorily complete a drug screening as a condition for employment.
I hereby authorize persons, schools, my current employer (if applicable), and previous employers and other organizations to provide this facility and its affiliates with my requested information regarding my application or suitability for employments, and I completely release all such persons or entities from any and all liability related to the providing or use of such information.
I understand that this authorization shall be valid for this and any future reports that may be requested.
I understand that my employment is at-will which means that I man terminate the employment relationship at any time and for any reason with or without notice, and that the facility has the same right. I understand that no one has the authority to enter into any agreement contrary to the preceding sentence, except for a written agreement signed by an administrative representative of this facility and notarize.