Triage Clinician I (Adult Services)

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Review and Submit

I hereby certify the information contained in this application is true and correct to the best of my knowledge and agree to have any of the statements verified by Uplift Family Services unless I have indicated to the contrary. I authorize the references listed above as well as other individuals to who the agency contracts to provide them any and all information concerning my previous employment and any other pertinent information they may have. Further, I release all parties and persons from any and all liability for any damages that may result from furnishing this information to Uplift Family Services as well as from any use of disclosure of such information by the agency of any of its agents, employees or representatives. I understand that any misrepresentation, falsification, or material omission of information on this application may result in my failure to receive an offer, rescinding of an offer, or if I am hired, my immediate dismissal of employment.

In consideration of my employment, I agree to conform to the rules and standards of Uplift Family Services. I further agree that my employment and compensation can be terminated at will, with or without cause, and with or without notice, at any time, either ay my option or at the option of the agency. I understand that not employee, manager, or representative of the agency, other than the CEO may alter the at-will nature of the employment relationship and that any such agreement must be in writing, signed by both parties with the clear and specific intent to do so. I agree this constitutes an integrated agreement with respect to the at-will nature of my employment relationship, that it is final and fully binding and there are no oral, written or collateral agreements regarding this issue.

Uplift Family Services is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, or any other characteristic protected under applicable state and federal civil right laws.

I understand working at Uplift Family Services is contingent upon my satisfactory completion of pre-employment Physical Assessment (including TB test), pre-employment background screening, and submission of fingerprints for the purposes of conduction a criminal record review. If I refuse to participate in these or I fail to satisfactorily meet the requirements established for the position, I understand that Uplift Family Services will consider my application withdrawn. Further, I understand any requirements established for my position may result in termination.

I understand that Uplift Family Services is a drug-free workplace. If hired, I understand I must comply with the agency’s policy regarding Alcohol and Drug Free Workplace expectations including a request to participated in a drug screen for “reasonable belief” of violation of policy. I understand if I refuse to participate this could be grounds for termination.

If hired, I understand I must have a valid California driver’s license to perform the essential functions of my position. As such, I understand in the event I am using my own vehicle for Agency business I must carry at least the minimum level of liability insurance as required by the State of California. Additionally, I understand I must maintain an acceptable driving record during my employment with less than 4 points. Failure to do so may result in termination.

I agree to protect any confidential Uplift Family Services information and not to disclose such information to others.

If hired, I understand before I become an Uplift Family Services employee I must provide evidence of both my identity and authorization to accept immediate and unrestricted, legal right to work in the United States.



Equal Opportunity Employer



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