I understand that should I be offered employment with Nottingham Village, I will be subject to a three month introductory period. I agree to take a physical examination and drug test at the request of the Company and authorize the examining physician to disclose the findings to the Company or an authorized agent of the Company. Such examinations will be at Company expense, unless I voluntarily resign my employment during the three month introductory period.

I understand that I will not be eligible for employment by Nottingham Nursing Center until receipt of satisfactory results for the following: Physical Examination, Drug Test, Mantoux Test (TB), Employment References, Nurse Aide Registry (if applicable), Criminal Background Investigation, FBI Check (if applicable) and required proof of licensures or certifications. In addition, my signature below serves as confirmation that the information provided above, is true and accurate to the best of my knowledge.

TO APPLICANT: We appreciate your interest in Nottingham Village and assure you that we are sincerely interested in your qualifications. A clear understanding of your background and employment history will aid us in considering you for a position that best meets your qualifications and the needs of our business.

APPLICANT AUTHORIZATION: Nottingham Village (its Employees, Officers, Agents and Authorized Representatives) is hereby authorized to contact persons, schools, employers and organizations named in this application to request relevant information as to my character, work habits, job performance and personal characteristics. I understand and agree that if employed, any false statements, deliberate omission or material misrepresentation on this application shall be considered sufficient cause for dismissal.

By signing this application I understand that my employment may be terminated by me or Nottingham Village at any time and for any reason and that nothing in this application, the interview process, or the course of my employment with Nottingham Village, if hired, will constitute a contract of employment except an express written and signed employment contract. I further understand that if hired I have a continuing obligation to inform Nottingham Village about any condition in my physical or mental health which could affect my employment, my fellow employees or the relationship of Nottingham Village to its customers.

It is Nottingham Village’s policy to offer equal employment opportunities to all qualified persons, regardless of race, creed, color, gender, age, sexual orientation, national origin, ancestry, genetic information, religion, disability, veteran status, marital status or other status protected by law. No applicant is to be discriminated against or given preference because of these factors.