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Privacy Agreement 

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment, and that the answers given by me are true and correct to the best of my knowledge. I understand that any misrepresentation or material omission of information in this application or during the hiring process may result in my failure to receive an offer, the revocation of an offer, or, if discovered after I am hired, grounds for immediate termination.

I understand and authorize MemorialCare Medical Group and/or its designee (including MemorialCare Medical Foundation) (collectively, “MemorialCare”) to validate the information provided for purposes of determining my suitability for employment, unless I have indicated to the contrary on this application. I further authorize any persons/institutions (including my previous employers) to furnish information/records requested by MemorialCare to validate this information. I hereby release MemorialCare and its employees, agents or representatives, as well as any persons/institutions who provided such information/records, from any and all liability arising out of or in any way related to the collection, use and/or disclosure of the same.

I understand that all offers of employment are contingent on my successful completion of the post-offer/pre-employment process, which includes a criminal background check, medical examination/drug test/TB skin test, reference verification, and satisfactory proof of my identity and legal authority to work in the United States.

In consideration of my employment, I agree to comply with MemorialCare’s policies and procedures, including the Code of Conduct, as they may be amended.

I agree that, subject to a specific employment agreement signed by MemorialCare and me, my employment can be terminated at will, with or without cause, and with or without notice, at any time, either at my option or at the option of MemorialCare. I further understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and MemorialCare. I further understand that no employee or representative of MemorialCare, other than the President of MemorialCare Medical Group, has the authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing. Any such agreement must be in writing signed by the President.

MemorialCare is an equal employment opportunity employer and does not discriminate against employees or applicants because of race, color, religion, sex, pregnancy, national origin, gender, ancestry, age, marital status, sexual orientation, disability, medical condition, genetic information, or any other protected characteristic under federal/state laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.