Signature and Attestation
I attest that all the statements and information on my application are true and correct, and no attempt has been made to conceal or withhold pertinent information. Any falsification or misrepresentation is cause for termination in the event I am employed. I hereby authorize investigation of all the statements I have made herein. I authorize the companies or persons named to give information regarding my past employment, and I hereby release said companies or persons and Iowa Anesthesia, L.C. from all liability for any damage whatsoever for issuing or obtaining this information.
I understand that unless there is a written contractual agreement between Iowa Anesthesia, L.C. and me to the contrary, all employment at Iowa Anesthesia, L.C. is at-will. I understand that there is no guarantee of any continued future employment should I become an employee of Iowa Anesthesia, L.C. I further understand that the Employee Handbook is for guidance purposes only and provides no promises or contract as to my employment. As an at-will employee, unless under written contractual agreement, I understand that my employment may be terminated at any time for any reason without recourse by me. If employed, I agree to work the hours, days and shifts as scheduled.
I understand that Iowa Anesthesia, L.C. does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis by local, state or federal law.
If I am applying for a remote position, I acknowledge that working from home is a privilege and any offer of employment would be a conditional offer, subject to satisfactorily passing the IT Department’s connectivity requirements. Telecommuting is not a guaranteed condition of employment. I understand that all connectivity and data requirements will be my responsibility including any costs associated with it.
Regardless of the position applied for, I understand that employment is conditional upon my ability to perform the essential functions of the position, with or without accommodations, and that for some positions this will be determined by a pre-employment health assessment. I further understand that successfully passing a drug-screening test is required for all positions. I also understand that my motor vehicle driving record and background checks, including, but not limited to, references (which will be requested and conducted as part of the consideration process), license verification, child and dependent adult abuse (as needed for a specific position) and criminal record checks (local, state, and national), will be reviewed, and that employment is conditional upon meeting company and insurance standards.
I understand that if I am hired, I will be required to provide proof of identity and legal work authorization. I also understand that Iowa Anesthesia, L.C. will provide the Social Security Administration (SSA) with information from my I-9 Form to confirm work authorization.
I represent and warrant that I have read and fully understand the foregoing and seek employment under these conditions.
