I certify that the information given by me in this application is true in all respects, and I agree that if employed
and it is found to be false in any way, that I may be subject to dismissal without notice, if and when discovered. I
authorize the use of any information in this application to enable Conway Medical Center to verify my statements, and
I authorize past employers, doctors, all references, and any other persons to answer all questions asked by Conway Medical
Center concerning my ability, character, reputation, and previous employment record. I release all such persons from any
liability or damages for providing such information.
I further agree, if employed, that I am to work faithfully
and diligently, to be careful and avoid accidents, to come to work promptly, and to not be absent for any reason without
prior notice to my supervisor. I understand that if I am employed, I will have the right to quit my employment at any time,
for any or no reason.I also understand that the hospital has the right to terminate my employment at any time, for any or
no reason. I agree to submit to a physical examination, including a drug examination whenever requested by Conway Medical
Center; and if employed, I agree to abide by all present and subsequently issued personnel policies and rules of the hospital.