Work Day, Inc.

Applicant Statement

I hereby certify that all information given on the application I am about to complete is true and correct to the best of my knowledge, without consequential or significant omissions of any kind whatsoever. I understand that Columbus Regional will conduct a thorough inquiry of my personal character to verify the data provided herein, and I agree to release from liability any person giving information in connection with this inquiry. I further understand that any falsification of information given in this application or any omissions will be considered sufficient cause for either refusal to hire or immediate discharge from the organization at any time during my employment. I also understand that I may be required to submit to a medical examination, which includes a urine drug test, as a formal part of the employment procedure.

In consideration of my employment, I agree to the rules of Columbus Regional, and my employment and compensation can be terminated with or without cause, and without notice, at any time, at the option of either Columbus Regional or myself.

"Title VII of the Civil Rights Act of 1964, as amended, prohibits discrimination in employment because of race, color, religion, sex or national origin, and the Age Discrimination in Employment Act prohibits discrimination on the basis of age with respect to individuals who are at least 40 years of age."

Disagree Agree