By submitting this application to be considered for employment and for other valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the undersigned applicant acknowledges and agrees to be bound by the following conditions:

1. Equal Employment Opportunity: All ProHealth companies and agencies are equal opportunity employers. This means that all persons are entitled to equal employment opportunity regardless of race, creed, color, religion, sex, national origin, ancestry, age, physical or mental disability, marital status, military service, military and veteran status, sexual orientation, familial status, genetic information, pregnancy, childbirth, membership or non-membership in a labor organization or any other protected characteristic, as required by state and federal law. In compliance with the provision of all applicable state and federal civil rights laws, every effort will be made to employ the individuals whose qualifications best meet the needs of open positions, without regard to the above factors. Additionally, it is and shall continue to be our policy to provide recruitment, selection, placement, transfer, promotion, training, termination, compensation, and advancement opportunities in a non-discriminatory fashion and based entirely on an individual’s achievement, performance, ability, attitude and potential for promotion. ProHealth agencies do not and will not permit employees to engage in unlawful discriminatory practices or sexual harassment involving patients, visitors or their coworkers.

2. At Will Employment: Applicant acknowledges that the submission of this application does not imply or guarantee that the applicant will be offered employment. Applicant further acknowledges that all employees hired by ProHealth, LLC, as well as its subsidiaries and affiliates, are employed “at will” and for no specific period of time. This means that you may resign at any time, and for any reason, and that ProHealth may terminate your employment at any time and for any lawful reason. This Handbook does not limit your right or the right of ProHealth to terminate the employment relationship at any time and does not create a contract of employment or any other type of contract.

3. Drug Screening: Applicants applying for a position with ProHealth will be required to undergo drug
screening after a conditional offer of employment has been extended. Employment is contingent on
successfully passing the drug screening. All applicants are required to consent in writing to such drug screening
and failure or refusal to do so will terminate the application/hiring process. In addition, applicants who are
hired by ProHealth are subject to the drug and alcohol testing provisions set forth in ProHealth’s policies,
procedures, and/or employee handbook.

4. Investigation of Applicant: By signing and submitting this application to ProHealth, the undersigned
applicant hereby expressly authorizes ProHealth, LLC, as well as all of its subsidiaries and affiliates, to
investigate all statements set forth in this application or made during any interview for employment. The
undersigned applicants acknowledges that any false, incomplete, or misleading statements in this application
provide a basis for ProHealth to reject the application or, if discovered after the applicant has been hired, such
false, incomplete, or misleading statements provide just cause for termination of the employee. The applicant
furthermore authorizes any former employer, school, police department, governmental agency, criminal record
custodian, motor vehicle records custodian, financial institution, or other person having knowledge about the
applicant to furnish ProHealth with any and all information regarding the applicant. The applicant hereby
releases such persons or entities from any and all claims arising from their furnishing of information about the
applicant to ProHealth.

5. Certification of Information Contained in Application and Associated Documents: I hereby attest, declare, and certify under penalty of perjury that the information provided herein is complete, truthful, and accurate to the best of my knowledge. I understand and agree that my failure to provide complete, truthful, and accurate information in this application and any other documents I submit herewith may result in denial of employment, or, if already employed at the time of discovery, immediate termination. I understand that my continuous employment will or may be contingent upon passing a screening for illegal drugs, a health review physical, proof of employment eligibility, a criminal background check, a check of the Medicare exclusion database, and successful reference check(s). If employed by ProHealth, LLC, or any of its subsidiaries or affiliates, I agree to be bound by all rules relating to employment including but not limited to policies, procedures, rules, regulations, and employee handbooks.

You are using an unsupported browser.