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    • Employment Application

EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATIONWebsite Admin2018-05-23T11:56:48-04:00

Step 1 of 7

14%
  • Please complete the entire application.
  • 1. Employer Information

  • Employer: The Center for Bone and Joint Disease

    Address: 7544 JacqueRd

    City/State/ZIP: Hudson, Florida 34667

    Telephone: 727-697-2200


    It is the policy of The Center for Bone and Joint Disease to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age ,disability or veteran status.
  • 2. Applicant Information

  • 3. Emergency Contact

  • Who should be contacted if you are involved in an emergency?
  • $per
  • THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT.
  • 13. Applicant Employment History (if resume attached, please skip Qu.13 & 14)

  • List your current or most recent employment first. Please list all jobs (including self-employment and military service) which you have held, beginning with the most recent, and list and explain any gaps in employment. If additional space is needed, continue on the back page of this application.

  • 14. Applicant's Education and Training

  • Nameand Address
  • Nameand Address
  • 15. References

  • List any two non-relatives who would be willing to provide a reference for you.

  • CERTIFICATION

    I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences immediate termination.

    I authorize The Center for Bone and Joint Disease to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

    If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Practice Administrator, the employment relationship will be" at - will. “In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of The Center for Bone and Joint Disease, except in a specific written contract of employment signed on behalf of the organization by its Practice Administrator, has the power to alter or vary the voluntary nature of the employment relationship.

    The Center for Bone and Joint Disease is a Drug-Free Workplace. All applicants considered final candidates for a position will be tested for drugs are part of the application process. Any applicant who refuses to submit to the pre-employment drug test will be ineligible for hire.

    I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.
  • Date Format: MM slash DD slash YYYY

CBJD – Hudson

7544 Jacque Road Hudson, Florida 34667

Phone: (727) 697-2200

Web: www.centerforboneandjoint.com

CBJD – Brooksville

10221 Yale Ave Brooksville, Florida, 34613

Phone: (352) 596-0900

Web: www.centerforboneandjoint.com

CBJD – Homosassa

8281 S. Suncoast Blvd., Homosassa, Florida 34446

Phone: (352) 597-2664

Web: www.centerforboneandjoint.com

CBJD – Lutz

16506 Pointe Village Dr., STE 109 Lutz, Florida 33558

Phone: (727) 605-3808

Web: www.centerforboneandjoint.com

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