I understand that this document entitled “Employment Application” is a legal professional document and all statements made on it must be true and accurate without omission. Falsifying any statements on this document is an offense that reportable to the appropriate state board. I certify that I am to be best of my knowledge in good physical and mental health and able to carry our the duties of the position for which I am applying and that I can carry out these duties without endangering myself of those for whom I provide professional healthcare services.
‘I authorize Staff Station, DBA Angel Healthcare Staffing to investigate my previous employment history, criminal background, and to contact the references listed on this application.
I certify that all statements made on this document are truthful and without intent to misrepresent my abilities to perform my job as a healthcare professional.
I agree to submit to alcohol and /or drug screening tests, if requested of me, at any time prior to or during my employment in accordance with applicable law and I further understand and consent to the results of said tests being communicated to the Company.