Applicant Note: Medlink Management Services, Inc. is an equal opportunity employer. Personnel are chosen on the basis of ability and qualifications without regard to race, color, religion, sex, age, national origin, martial status or disability in compliance with federal, state municipal laws. Additional testing of job-related skills, mental/physical abilities to perform essential functions of the job, and for the presence of drugs in your body may be required prior to employment. This application form is intended for use in evaluating your suitability for employment. This is not an employment contract. Please provide only the information requested below, providing additional information will result in rejection of the application.

Applicant's Agreement

          By clicking the Submit button, I certify that the information contained in this application is correct to the best of my knowledge. I authorize investigation of all matters contained in this application and agree that any misleading, false, or omitted information is cause for rejection of this application and is cause for dismissal after employment, regardless of when such false or omitted information is discovered.

          I authorize the use of any information contained in this application to verify my statements and I authorize my past employers with whom I have worked, and all listed references to answer alll questions concerning my ability, character, reputation, and previous employment records. I authorize the company and/or it's agents, including consumer reporting bureaus, to verify and of this information including, but not limited to criminal history, motor vehicle driving records, and workers compensation claims.

          I also understand that the use of illegal drugs is prohibited during employment. I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment. I agree to be employed on a three month probationary period and abide by all present and subsequently issued organizational and departmental policies. If employed, I agree to accept changes in assignment or shifts that the needs or the patients and the organization are met.

          I understand that any employment relationship with this employer is "at will," which means that the employee may resign at any time, and the employer may discharge the employee at any time, with or withour cause. I also understand that this at-will employment relationship may not be changed by any written document or by any behavior, unless the change is specifically acknowledged in writing by administration.