Application For Employment

Application for Employment


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Education

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REFERENCES

previous employment 1
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previous employment 2
previous employment 3

MILITARY SERVICE

DISCLAIMER AND SIGNATURE

I certify that the information contained in this application is correct and understand that falsification of this information is grounds for dismissal. I authorize Riverside Hospital or its agents to conduct an investigation of my background for the purpose of confirming the information contained on my application, and / or obtaining other information which may be material to my qualifications for employment. I authorize any individuals or entities contacted during this investigation to give you any and all pertinent information they may have, personal or otherwise, and release all parties from any and all liabilities, claims, or law suits in regard to the information obtained. If an employment relationship is established, I agree to conform to the polices and procedures of Riverside Hospital and to support the facility’s commitment to operate in compliance with all applicable laws. I understand that all employees are subject to the rules and testing component of the facility drug d alcohol policy and that employment is contingent upon compliance with this policy.

I understand that my employment and compensation can be terminated with or without cause, and with or without notice, at anytime at the option of either the company or myself. I also understand that any period of employment is not for a specific duration and understand that with the exception of the Chief Executive Officer of the facility, no company representative has the authority to mane any oral or written agreements which are contrary to the forgoing.

I certify that I have read, understand, and agree with the above Disclaimer statement.*

RECORDS CHECK FOR APPLICATION

Lagniappe & Costello
Research & Investigations, LLC
Lt. Robert J. Davidson (LA License #5405-031903-LA)...(318) 471-0160
Allan N. Castillo (LA License #5292-091702-LA)...(318) 617-5046
Office (888) 404-7130
MVI/Criminal History Fax (318) 872-3000

I understand and agree to have my record investigated as to felonies, misdemeanors, or any other arrest. Further, I waive such legal rights if any that I may have and do release any and all persons from liability in connection with furnishing such information about me to the below listed company or business.

Company Name: Riverside Hospital
Company Fax #: 318-442-4505

What our
patients
are saying

  • “Just wanted to say hello and thank everyone again for the excellent care during our stay. Couldn't have asked for better treatment or a better experience. You were all awesome. We are glad to be home but we miss you guys! We have had some ups and downs but making progress daily. Looking forward to coming to visit y'all.”
    -Albert & Dana Lewis
  • “I wanted to express our total appreciation for all the wonderful care that my mom received during her stay at Riverside. From the nurses to the housekeep staff, everyone was fabulous. I really feel that moving my mom to Riverside was the best move we made, it got her back on her routine. Riverside is a beautiful facility and I'll absolutely be recommending them to family and friends. We appreciate the wonderful care you gave to our mother.”
    -Celeste Delrie