Applicant Statement
Cayuga Health System entities are drug-free workplaces. Candidates for employment will be required to pass a pre-employment drug screen. I certify the above statements to be true and understand that misrepresentation or omission of facts in this form or any of the other forms I complete as part of the employment process is cause for dismissal. I agree, if employed to reimburse the Cayuga Health System for property used by me and not properly accounted for and to abide by all policies and regulations. I further certify that I have not been excluded or have action pending that would exclude me from working with Medicare or Medicaid or other federal health care programs (A listing of exclusions under the CHRC may be reviewed at the Department of Health website). It the policy of Cayuga Health System to provide equal opportunity without regard to race, color, national origin, creed, sex, sexual orientation, age, disability, marital status, and other reasons prohibited by law. This policy applies to all areas of employment including recruitment, training, transfer, promotion, layoffs, termination and other forms of compensation and benefits. I affirm that to the best of my knowledge all statements are true and complete without omission of any kind. I understand that my employment is dependent upon a thorough investigation of my records (exclusive of criminal history checks that may be preferred by the FBI, employers, SHRC, OASES etc.) and references as well as successfully passing a physical examination and substance abuse testing. I agree I will abide by all Cayuga Health System rules and regulations. I understand that this employment application and any other Health System documents are not contracts of employment, and anyone hired may leave voluntarily by giving proper notice and may be discharged by the Health System at any time for any reason. I understand that any oral or written statements to the contrary are expressly disavowed and should not be relied upon by prospective or current employees. In addition, I also understand that the completion of this form does not indicate that there are any positions open nor does it obligate the Health System in any way. I hereby authorize Cayuga Health System to verify my background, employment references, and suitability for employment. I authorize to exchange appropriate information with organizations such as attorney general, federal bureau of investigation etc. I release from any and all liability any individual employer, educational institute, professional organization etc. which may provide such information. I also waive my right to inspect this reference information