I hereby apply for employment with Our Lady of Mercy Country Home (OLOMCH). I agree to conform to the rules, expectations, and regulations of OLOMCH.  I understand that OLOMCH or I may terminate my employment at any time, with or without notice, for any reason.  

I hereby authorize OLOMCH to make inquiry of all persons, schools, companies, credit bureaus, consumer reporting agencies, and law enforcement agencies to supply all information concerning me and to furnish reports and documents to OLOMCH about me.  I hereby release them and OLOMCH from all liability and responsibility by reason of their doing so.

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OLOMCH is an Equal Opportunity Employer.  Federal, state, and/or local law prohibits unlawful discrimination in employment practices because of race, color, religion, age, national origin, sexual orientation, veteran status, disability, genetic information, familial status, marital status, or gender identity. No question on the application is asked for the purpose of limiting or excluding any applicant’s consideration for employment because of his or her race, color, religion, sex, sexual orientation, age, national origin, veteran status, or disability. Note: Any false statements made in this application will be considered sufficient cause for dismissal upon discovery thereof.

  In compliance with the Immigration Reform and control Act of 1986, OLOMCH will hire only U.S. citizens and aliens lawfully authorized to work in the U.S. Prior to beginning employment, all new employees will be required to complete Form I-9 Employment Eligibility Verification by using E-Verify.  

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I hereby acknowledge that the information provided on this Employment Application is true and correct.