Employment Application

Application for Employment

  • University Pediatricians is an Equal Opportunity Employer - all qualified candidates will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.
  • If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed and type(s) of rehabilitation. An affirmative answer to this question will not necessarily preclude employment; however a false answer will preclude employment.
  • By signing below, and in exchange for the consideration of my job application by University Pediatricians, I understand and agree that:

    University Pediatricians is an equal opportunity employer. University Pediatricians does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harrassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.

    I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for University Pediatricians to hire me. If I am hired, I understand that either University Pediatricians or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of University Pediatricians has the authority to make any assurance to the contrary.

    I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of University Pediatricians. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract.

    I attest with my name below that I have given University Pediatricians true and complete information on this application. I understand that if I am hired, this application will become a part of my official employment record. No requested information has been concealed. I authorize University Pediatricians to contact schools, previous employers (unless otherwise indicated), reference and other in order to verify the accuracy of the information contained in this application. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal. I hereby release University Pediatricians from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.