I certify that answers given herein are true and complete to the best of my knowledge.

I understand that all applicants who receive conditional offers of employment and employees of OCH Regional Medical Center are subject to the hospital’s drug testing program and failure to follow the program or abide by its rules or requirements will result in discipline up to and including termination. I further understand that OCH conducts criminal history record checks as required by Miss. Code Section 43-11-13 and a disclosure of a disqualifying event may determine my non-suitability for employment.

I agree that OCH can investigate to the extent it deems appropriate my work and other history. I agree not to sue and to hold harmless OCH or any employee, agent, representative, officer, director, or other individual or entity that reviews or checks my background or history, or uses any such information on behalf of OCH, whether accurate in whole or in part, concerning any employment decision related to me. I also agree not to sue and to hold harmless any former employer or employee, agent, representative, officer, or director, of any former employer, or any other individual or entity, who produces, releases, or provides any information, whether accurate in whole or in part, concerning my work or other history.

I understand falsification of data so given or other derogatory information discovered as a result of this investigation will prevent me from being hired or if hired will subject me to immediate dismissal.

I understand that OCH is a tobacco-free campus and that use of tobacco products is prohibited on all hospital property. I agree to abide by all rules and regulations concerning this policy. If I am employed, I also understand that I am required to abide by all other rules and regulations of OCH.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. If is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. I also acknowledge that completion of this application or acceptance of an offer of employment does not create any contractual obligation between OCH and me.

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