Dental Hygienist - On Call

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Review and Submit

I certify that the above information is true and correct to the best of my knowledge. I understand that misrepresentation or omission of facts is cause for termination if employed by Yakima Valley Farm Workers Clinic (YVFWC). I grant permission to YVFWC to verify and obtain information regarding my employment, school records, and license/certification. I hereby release my employers, schools, personal references, and any agencies contacted from any and all liability for damages for providing the information requested. If employed, I release YVFWC from any liability for future references it may provide regarding my work history with YVFWC. Employment may be contingent upon the provision of documents necessary to satisfy the Immigration Reform and Control Act, a satisfactory background check report and satisfactory references. I authorize YVFWC to share information contained in my application (such as education and professional experience) with internal stakeholders for inclusion within grant applications for which YVFWC is the grant recipient. I understand that this application does not create a contract of employment. Employment at YVFWC is at-will, and that means my employment and compensation can be terminated with or without cause and with or without notice, at any time at the option of either the agency or myself. If you are applying for a safety-sensitive position you will be required to undergo testing for controlled substances and at our discretion, alcohol testing, before employment and will be subject to further testing throughout your employment. If you are applying for a position that requires a Commercial Driver's License, will also be asked to sign forms for release of information from previous employers in all cases where driving a Commercial Motor Vehicle was one of your functions. I consent to electronic submission and storage of this employment application. I acknowledge my right to withdraw my electronic consent and sign this document in non-electronic format by sending an email to jobs@yvfwc.org. 

Candidate Sign Off

I certify that all of the information in this application is true and correct as of this date.

Application Review