PREFERENCES AND TOLERANCES

DAYS AND TIMES YOU CAN WORK

DAYS AND TIMES YOU CANNOT WORK


WHICH AGE GROUP(S) DO YOU PREFER WORKING WITH?

WHAT ARE YOUR TOLERANCES? CAN YOU HANDLE THE FOLLOWING FROM A PERSON WHO IS DEVELOPMENTALLY DISABLED?

PART OF THE JOB RESPONSIBILITY YOU WILL HAVE, IF HIRED, IS TO ACCOMPANY INDIVIDUALS TO THE CHURCH OF THEIR CHOICE. WOULD YOU HAVE A PROBLEM WITH ACCOMPANYING OUR PEOPLE TO A CHURCH THAT IS DIFFERENT FROM YOUR RELIGIOUS AFFILIATION?


Did you complete this application yourself?


By signing and submitting this application, I understand that no offer of employment has been made.

If hired, I understand that I am free to resign at any time. Furthermore, it is acknowledged that employment with G.B.Cooley Hospital Service District is at-will and the at-will nature cannot be changed except by separate written agreement. The employer reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of the employer has the authority to make any assurances to the contrary.

By signing and submitting this application, the applicant gives consent for G.B.Cooley Hospital Service District to conduct background checks including obtaining criminal records, and acknowledges that the immunity granted from civil liability shall be the most extensive allowed by law, including LA. Rev. Stat. 23:291(D)

By signing and submitting this application, the applicant acknowledges that the application submitted is true, accurate, complete, and correct and any misrepresentations or omissions may result in the application being disregarded and the prospective employee not being considered for employment; or if hired, cause for discipline including discharge; and if fired, forfeiting worker’s compensation benefits.