Radiation Oncologist | Bismarck Cancer Center

1Personal Information

2Employment Information

3License/Certification

4Education

5Employer Information

6References

7Authorization, Release, and Resume

Personal Information
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Authorization, Release, and Resume
AUTHORIZATION: I hereby certify that this application contains no willful misrepresentation or falsification and that the information given by me is true and complete to the best of my knowledge and belief. I am aware that should investigation at any time disclose any such misrepresentation of falsification, my application will be rejected and I may be removed from the job after appointment. I understand that under the Title VII of the Civil rights Act of 1964 and the North Dakota Human Rights Act, I cannot be discriminated against in employment, including consideration for promotion, for reason of race, color, religion, national origin, sex, or other employment related documents I may have been furnished are not contracts of employment; also, that any oral or written statements to the contrary are hereby expressly disavowed. The employer has my authorization to thoroughly investigate my work, criminal and personal history which is job-related. I certify that I will hold no person, corporation or organization liable for giving or receiving information in this investigation. I further understand that if I am employed, such employment is for an indefinite period of time, that either I or the Bismarck Cancer Center can terminate such employment at any time, and that the Bismarck Cancer Center can change wages, benefits and conditions at any time. (My typed name below shall have the same force and effect as my written signature.)
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RELEASE: Having made application for employment with Bismarck Cancer Center and desiring them to be informed as to my previous record and character, I hereby authorize Bismarck Cancer Center to investigate my past record and to ascertain any and all information which may concern my record and character, whether same is of record or not, and release my present and past employers, references, and all persons whomsoever from any damage because of furnishing said information. (My typed name below shall have the same force and effect as my written signature.)
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Should you receive an offer of employment with Bismarck Cancer Center, and accept such offer, prior to your employment date, a physical examination (at no charge to you) may be completed, or if you wish, you may choose a physician at your own cost. Your employment is contingent upon satisfactorily passing a physical examination prior to employment. In addition, our policy provides for an orientation period to allow Bismarck Cancer Center to review you and your adjustment to the new position. During this orientation period, you or your department managers have the freedom of terminating employment at Bismarck Cancer Center without notice. Bismarck Cancer Center operates continuously and you are expected to perform services in accordance with your job description and approved work schedule. Thank you for completing this application form and for your interest in employment with Bismarck Cancer Center. We assure you that your opportunity for employment will be based only on your merit, employment history and academic background.
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Authorization, Release, and Resume

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