North Bend Medical Center: APPLICATION FOR EMPLOYMENT
NBMC is an equal opportunity employer. NBMC does not discriminate in employment with
regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including
sexual harassment), sexual orientation, marital status, physical or mental disability, military
status or unfavorable discharge from military service or any other characteristic protected by
Incomplete information could disqualify you from further consideration. Please complete all the
employment history, including periods of unemployment, starting with the most recent and
working backwards in time. Incomplete information could disqualify you from further
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Please read carefully before signing.
I understand that neither the completion of this application nor any other part of my
consideration for employment establishes any obligation for NBMC to hire me. If I am hired, I
understand that either NBMC or I can terminate my employment at any time and for any reason,
with or without cause and without prior notice. I understand that no representative of NBMC has
the authority to make any assurance to the contrary.
I attest with my signature below that I have given to NBMC true and complete information on
this application. No requested information has been concealed. I authorize NBMC to contact
references provided for employment reference checks. If any information I have provided is
untrue, or if I have concealed material information, I understand that this will constitute cause for
the denial of employment or immediate dismissal