Applicants are not required to give any information that is prohibited by federal, state/provincial, or local law.

List the most recent employer, or last employer, first. Include military service or any self-employed or unemployed periods. You must account for the past ten (10) years or since completing school, whichever is less. Use additional pages if necessary.

Give names of two people, not relatives or former employees, who have known you for five years.

Spring Creek Surgical Center sets a high standard for its employees. We require compliance with these standards as a condition of employment. You need to carefully consider what will be required before considering a position with us. As an employee of Spring Creek Surgical Center you would be expected to comply in full. You need to know and understand that Spring Creek Surgical Center will require you to: 

JOB EXPECTATIONS

• Meet performance standards of position

• Work hours as scheduled – report to work on time.

• Take direction from supervisors and execute that direction to the best of your ability. 

• Maintain a positive, enthusiastic attitude at all times. Be a cooperative member of the staff. 

• Train, as needed, to keep high performance level on your job. 

PERSONAL APPEARANCE

Maintain a business-like, professional appearance (dress and grooming)

ALL APPLICANTS – Please read the following and address any questions to the Personnel Representative signing below: I acknowledge that in connection with my application for employment, promotion, or reassignment with Spring Creek Surgical Center, an investigative consumer report or other inquiry may be made as to my character, general reputation, personal characteristics and mode of living. If a report is made, I have been advised further that upon written request within a reasonable amount of time, additional information as to the nature and scope of the report, if one is made, will be provided. This written request should be addressed to the Personnel Department where this application is made. 

I hereby authorize all personnel, schools, companies, corporations, credit bureaus and law enforcement agencies to supply any and all information pertinent to my employment and release the same from any liability resulting from providing such information. Spring Creek Surgical Center has my permission to make said inquiries and I hereby release Spring Creek Surgical Center from any liability in making said request or in relying on the information received. 

I understand that satisfactory reports are a condition of my employment with Spring Creek Surgical Center. I further understand that my employment with Spring Creek Surgical Center will be terminated if management determines that said reports are unsatisfactory. 

I also acknowledge that from time to time, Spring Creek Surgical Center may be required to submit certain information with regard to my employment or application for employment. I hereby release the (Company), its agents, assigns and subsidiaries from any liability from submitting such information. 

I acknowledge that Spring Creek Surgical Center may request either prior to and/or after employment that I undergo drug testing and may request after an offer has been made, a medical exam. I consent and agree to any such exam, if required, now or in the future. I understand that when pre-employment drug testing is required, a satisfactory result is a condition of employment with Spring Creek Surgical Center. 

I hereby certify that all statements and answers made on this Employment Agreement are complete and true. I understand that if subsequent to employment any of such statements and/or answers are found to be false or that information is omitted, such false statements or omissions will be considered grounds for termination of my employment.