Give a record of all High Schools, Colleges, Universities and Vocational/Technical schools you have attended.

Please list all work history going back 7 years, starting with your current or most recent employer.

Fair Credit Reporting Act Disclosure

As an applicant for employment or an employee of this organization, you have rights under the Fair Credit Reporting Act (FCRA). By this document, this organization discloses to you that a consumer report may be obtained for employment purposes as part of the pre-employment background investigation and at any time during your employment, if you are hired. If this organization obtains a consumer report about you, and if this organization considers any information in the consumer report when making an employment related decision that directly and adversely affects you, this organization will provide you with a copy of the consumer report and a summary of your rights under the FCRA before the decision is finalized. You also may contact the Federal Trade Commission about your rights under the FCRA.

Consumers Have the Right to Obtain a Security Freeze

You have a right to place a "security freeze" on your credit report, which will prohibit a consumer reporting agency from releasing information in your credit report without your express authorization. The security freeze is designed to prevent credit, loans, and services from being approved in your name without your consent. However, you should be aware that using a security freeze to take control over who gets access to the personal and financial information in your credit report may delay, interfere with, or prohibit the timely approval of any subsequent request or application you make regarding a new loan, credit, mortgage, or any other account involving the extension of credit.

As an alternative to a security freeze, you have the right to place an initial or extended fraud alert on your credit file at no cost. An initial fraud alert is a 1-year alert that is placed on a consumer’s credit file. Upon seeing a fraud alert display on a consumer’s credit file, a business is required to take steps to verify the consumer’s identity before extending new credit. If you are a victim of identity theft, you are entitled to an extended fraud alert, which is a fraud alert lasting 7 years.

A security freeze does not apply to a person or entity, or its affiliates, or collection agencies acting on behalf of the person or entity, with which you have an existing account that requests information in your credit report for the purposes of reviewing or collecting the account. Reviewing the account includes activities related to account maintenance, monitoring, credit line increases, and account upgrades and enhancements.

Employment Disclosure

All qualified applicants will receive consideration for employment without regard to sex, race, color, national origin or ancestry, age or disability. No information on this application will be used for the purpose of discrimination.

Submitting this application certifies that my answers to the forgoing questions are true and correct and that I understand that intentionally false information will result in refusal of employment or termination of employment if discovered after the date of hire.

I understand that, if hired, my status is that of an employee at will, meaning that I have no contractual right, express or implied, to remain in this organization's employment. In consideration of my employment, I specifically agree that my employment or the terms and conditions thereof including compensation can be changed or terminated with or without cause and with or without notice at any time at the option of this organization. I further understand that, if hired, my employment is for no definite period and either this organization or I may terminate our relationship at will at any time and that this employment application does not constitute an employment contract. It is further agreed that this "at will" employment relationship may not be changed by any written document or by conduct, unless such change is specifically agreed and acknowledged in writing by an authorized executive of this organization.

I understand that SJH conducts drug testing and that the results of that testing is used to make employment decisions.

I understand that SJH conducts background checks and that the results of that testing is used to make employment decisions

I affirm that I have read and agree to all of the disclosures and conditions included in the on-line application.