It is the policy of Northside Medical Professionals, P. C. to provide equal employment opportunities to all applicants and employees without regard to any legal protected status such as race, color, religion, gender, national origin, age, disability or veteran status.
Contact: Northside Medical Professionals, P.C., 1605 Nashville Hwy., Ste. 200, Columbia, Tn. 38401 • 931-540-4210
The existence of a criminal record does not constitute an automatic bar to employment unless relevant to the type of employment.
List any people who would be willing to provide a reference for you.
I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.
I authorize Northside Medical Professionals, P.C. to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.
If I am called back for hire, I give permission for Northside Medical Professionals, P.C. to do a urine drug screen test and a TB skin test. I understand that if these tests come back positive it will be the basis for rejection of my hire.
I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.