The statements made in this application are true to the best of my knowledge. I understand that any falsification will be the basis for disqualification of employment or termination of services. I authorize White Glove to verify the information I have provided and to contact past employers and references concerning my ability, character and employment record. I release all such persons from liability for furnishing said information. I authorize White Glove, as my employer, to release any medical information, which may be relevant to my employment to their client facilities. By submitting this application to White Glove, I authorize release of this information to all other affiliates of the company and I acknowledge and agree that they may contact me using facsimile or any other means. Nothing contained in this employment application, or in the granting of an interview, is intended to create an employment contract between White Glove and the applicant for either employment or for providing of any benefit. All offers of employment are made conditional upon the applicant's proving employment authorization an identity in accordance with the Immigration Reform and Control Act of 1986.
I authorize White Glove and any third party payment contracted to obtain my criminal background information, motor vehicle records and public records and to investigate any personal information on me necessary to arrive at an employment decision.
Nursing Skills Checklist Please select a maximum of 2 skills checklists that applies to your specialty and click on Continue