Trinitas Hospital is an equal opportunity employer that does not discriminate on the basis of sex, age, race, color, creed, religion, marital civil union or domestic partner status, national origin, ancestry, affectional or sexual orientation, gender identity or expression, atypical hereditary cellular or blood trait, non-job-related handicap or disability, liability for service in the United States Armed Forces, citizenship or any other characteristic protected by applicable federal, state or local law. Trinitas Hospital will make a reasonable accommodation to the known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation would impose an undue hardship on the operation of the company.

I certify that the statements made on this application, and any addendum (such as my resume), are true and complete to the best of my knowledge and belief. I understand that any false statement or omission of any statement on t his application and any addendum can be sufficient cause for rejection of my application or for dismissal or other discipline as appropriate when any false statement or omission is discovered or confirmed subsequent to my employment.

If I am applying for a position which requires a high school diploma, GED, undergraduate, or graduate degree, license, registration, or certification, I will be required to submit the original document(s) and/or transcripts if applicable, before final acceptance to the position.

I further understand and authorize TRINITAS HOSPITAL to perform, or request that a third party perform, a pre-employment background investigation to determine my suitability for employment. I authorize TRINITAS HOSPITAL to have written access to any records concerning my criminal history, education, and employment background. I understand that if any inquiry is made, all information as to its nature and scope will be supplied upon written request.

I understand that, upon written request within a reasonable period of time, I am entitled to additional information concerning the nature and scope of this investigation. I understand that pursuant to the Fair Credit Report Act (FCRA), I have the right to know if adverse action is being considered against me as a result of information contained in this report, that I have the right to a copy of this report prior to any adverse action taken against me and to dispute the accuracy of any information in the report by contacting the consumer reporting agency, TABB, INC., at TABB INC., P.O. Box 10; 555 E. Main St., Chester, NJ 07930, Phone (908) 879-2323 Fax (908) 879-8675. I understand that I may have additional rights under State law which I may determine by contacting my state or local consumer protection agency. I hereby release the COMPANY, TABB, INC., their officers, agents, employees, and servants from any liability arising from the preparation of this report or investigations relating thereto.

I understand that if TRINITAS HOSPITAL decides to make me an offer of employment that any such offer of employment is conditioned on my satisfactory completion of a drug screening and physical assessment as well as a satisfactory reference and a criminal background check.

I understand that this employment application and any other TRINITAS HOSPITAL document are not contracts of employment and that any individual who is hired may voluntarily leave employment and may be terminated by TRINITAS HOSPITAL at any time and for any reason.
I understand that if employed by Trinitas Hospital, I will be an at-will employee, which means that I can voluntarily end my employment or be terminated at any time without cause or notice. No statement, whether written or oral, by any Trinitas Hospital representative other than a written statement signed by the CEO may vary the foregoing.

I understand that no employee or representative of TRINITAS HOSPITAL other than the President, has the authority to enter into an agreement for employment for any specified period of time and recognize that any oral or written statements to the contrary are hereby expressly disavowed and should not be relied upon.

I also understand that if employed I may, from time to time, at my employer's discretion, be required to submit to physical and mental examinations. Situations where this may occur include, but are not limited to, workplace injuries, requests for reasonable accommodations, etc. I also understand that other physical tests, which may include alcohol and drug screening, may be required during the course of my employment.

I further understand that any misrepresentation as to the pre-existing physical or mental conditions may void my Worker's Compensation benefits.

I further understand that TRINITAS HOSPITAL fully complies with the Americans with Disabilities Act and that if I need accommodation for my disability in either the application process and/or during my employment, I will request such accommodation and engage in an interactive process regarding same.

I agree to abide by and comply with all the rules/policies of TRINITAS HOSPITAL. If employed, I understand that TRINITAS HOSPITAL may unilaterally change or revise its benefits, policies and procedures, and such changes may include reduction in or elimination of benefits. I understand TRINITAS HOSPITAL has a number of facilities and recognize that I may be required to work in facilities and on shifts other than that to which I am initially assigned. I understand that my employment is at-will, and may be terminated pursuant to the employer's policies or my contract with the employer, whichever is applicable.

I certify that the statements made on this application are true and correct, and thereby grant TRINITAS HOSPITAL permission to verify the information contained herein. I understand that giving false information or the failure to give complete information as requested herein shall constitute grounds among others for rejection of my application or my dismissal in the event of my employment.