What Racial/Ethnic Category Do You Consider Yourself
All persons having origins in any of the original people of North America.
All persons having origins in any of the original people of East, Southeast Asia, the
Pacific Islands or Indian subcontinent. This area includes for example China, Japan,
The Philippines Island, and Samoa.
Not of Hispanic Origin. All persons having origins in any of the Black racial groups.
All persons of Mexican, Puerto Rican, Cuban, Central or South America, or other Spanish culture or origin.
Our company is committed to respectful and equal treatment for all employees. This commitment includes non-discrimination towards
applicants and employees on the grounds of race, color, creed, religion, age, sex, disability, national origin, ancestry, sexual orientation,
marital status, or with regard to public assistance, or union or non-union status. This prevails throughout the employment relationship,
including, but not limited to recruitment, selection, training, transfer, compensation, promotion, demotion, layoff and termination.
Applicant Release, Please read and sign below
I authorize the investigation of my background including all information contained in this application and information provided in the
interview. I understand that misrepresentation or omission of information in connection with my application and interview will be
sufficient cause, in and of itself, for rejection or dismissal whenever discovered. I understand and agree that any offer of employment is
contingent upon satisfactory completion of Nurses R Us pre-employment investigation which includes but is not limited to health
assessment, criminal history check, educational and work verification, reference checks, consumer report and any investigation required
by local, state, or federal laws. I understand that if I am hired by Nurses R Us, my employment will be for an indefinite period of time
and will be "ATWILL" which means that either Nurses R Us, or I may terminate the employment relationship at anytime and for any
reason or no reason.
I further understand that, if hired, my "AT-WILL" employment status may only be changed in written contract signed by the management
of Nurses R Us, and that no representative of Nurses R Us has the authority to make oral promise to me concerning my employment.
Finally, I also understand that Nurses R Us may adopt, from time to time, policies or handbooks dealing with benefits and other terms or
conditions of employment. These policies or handbooks do not constitute a contract of employment between Nurses R Us and me.
Nurses R Us reserves the right to change or discontinue these policies and/or handbooks at any time with or without notice to me.
Nurses R Us strives to provide a safe, healthy and productive work environment and supports a smoke free, alcohol-free work
SIGNATURE OF APPLICANT, DATE
FULL NAME OF APPLICANT (Please Print)