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Assistant Director - Philanthropic Services
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Background Information

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Have you ever been employed with us before? If yes, when, where, and in what capacity?

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Employment History

Baptist Hospital of Southeast Texas values the knowledge received through previous employment and rewards that experience through our compensation process. All relevant experience MUST be listed in the Employment History section BELOW to be taken into consideration. Failure to list relevant experience may affect compensation and will not be re-evaluated in the first year of employment.

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Application/Employ Conditions

I agree to notify the Company in writing within five to seven (5-7) days of receiving any written or oral notice of any adverse action, including, without limitation, exclusion from participation in any federal or state health care or procurement programs, any filed and services malpractice suit or arbitration action; any adverse action by a state licensing board, any adverse action which has resulted in the filing of a report with the state licensing board; any revocation of DEA license; a conviction of a felony or misdemeanor of moral turpitude; any action against any certification under the Medicare or Medicaid programs; or any cancellation, non-renewal or material reduction in medical liability insurance policy coverages.

I understand that any false statements in this application may be cause for rejection or termination of my employment with this Company.  I also grant permission to (i) this Company to investigate my former employment and references, and (ii) my former employers and references to release information about me to this Company.  In consideration of my potential employment with this Company, I absolve this Company, former employers, and references from any liability with respect to providing information about me, including my employment, and attendance records and reason for termination.  I understand that neither this document nor any offer of employment from the Company constitutes an employment contract, unless a specific written document to that effect is executed by the Company and myself.  I understand that as part of the post-offer, pre-starting  screening process, I may be required to submit to a drug screen.

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