Applicant's Statement
I certify that the answers given herein are true and complete to the best of my knowledge. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in immediate termination.
I agree to a pre-placement medical examination if one is requested. I consent to Columbia Lutheran Home (CLH) seeking information concerning criminal records from the appropriate state agency.
In the event of employment, I understand that I am required to abide by all rules, regulations and instructions of CLH whenever adopted or modified. I understand and agree that the rules, regulations, instructions of CLH do not constitute an employment contract and that nothing in the application process constitutes an employment contract. I understand and agree that either CLH or I may terminate the employment at any time, with or without notice, with or without reason. Only a written agreement with me signed by the Administrator of CLH may modify that at-will status. Upon termination of my employment, I authorize CLH to deduct from my paycheck all money that I owe to CLH.
Columbia Lutheran Home requires this Background Authorization to comply with Washington state law and nursing home licensing regulations (RCW 43.43.830-.842). Nursing homes in Washington are forbidden by these regulations from employing anyone who has been convicted of certain crimes. Convictions for these crimes may not necessarily exclude you from consideration from employment. Providing false information on the background inquiry application will result in rejection of the application or termination of employment. Applicants with an arrest for a disqualifying crime will be excluded from consideration for employment, pending written documentation of the court’s decision when the matter is resolved. It is the applicant’s responsibility to provide this documentation.