1) This application will be considered active for a maximum of ninety (90) days. If you wish to be considered for employment after that time, you must reapply. Due to the high volume of applications received, we are unable to verify the status of your application. Please do not call requesting this information. 2)This company is an equal opportunity employer and does not discriminate because of race, color, religion, sex, age, citizenship, martial status, disability, or national origin. 3) I understand that if I am hired, my employment will be for no definite period, regardless of the period of payment of my wages. I further understand that I have the right to terminate my employment at will at any time with or without notice or reason, and Madison County Memorial Hospital has the same right. No one other than the Chief Executive Officer/Administrator has authority to modify this relationship or make any agreement to the contrary. Any such modification or agreement must be in writing. 4) I understand that Madison County Memorial Hospital reserves the right to require me to submit to a drug test at any time and also reserves the right to require me to submit to an alcohol test and/or medical examination to the extent permitted by law. I further understand that Madison County Memorial Hospital may contact my previous employers and I authorize those employers to disclose to Madison County Memorial Hospital all records and other information pertinent to my employment with them. I release my previous employers from any liability as a result of their disclosure of information about me to Madison County Memorial Hospital. I also authorize Madison County Memorial Hospital to provide truthful information concerning my employment with it to my future prospective employers and I agree to hold it harmless for providing such information. 5) I certify that I have received a written notification that Madison County Memorial Hospital may obtain a consumer report or reports on me. I authorize this Hospital to obtain such a report or reports for use in connection with my application for employment and for other employment-related reasons. If hired, this authorization shall remain on file and serve as ongoing authorization for procurement of employment-related consumer reports at any time during my employment. I understand that the term “consumer report” includes, but is not limited to, credit checks, criminal background checks, Department of Motor Vehicle reports, and investigative consumer reports. I further understand that the term “investigative consumer report” means a report in which information on my character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with my neighbors, friends, or associates, or with others with whom I am acquainted or who may have knowledge concerning any such items of information. 6) I further understand that if employed I will be on a 6 month probationary period, and that termination for unsatisfactory performance during that period will not result in any Madison County Memorial Hospital responsibility for unemployment benefits. I further understand that completion of the probationary period does not confer any expectation of continued employment, and that if employed, my employment will be for no definite period and “at-will.”