American Specialty Health Incorporated Careers - Apply for null

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First Name*

Last Name*

Email Address*

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Address*

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How did you hear about us?*

If you were referred by a current employee of ASH, please list employee name

Are you legally authorized to work in the United States?* Yes No

Will you now or in the future require sponsorship for an immigration-related employment benefit?* Yes No

Protecting personal information and maintaining the privacy of individuals serviced by American Specialty Health Incorporated is the responsibility of every employee.

The Company has established and maintains a series of policies limiting how employees may use or disclose such personal information.

These policies also specify the Company's expectations for employees to safeguard individuals' privacy when storing or disposing documents containing personal information.

Do you have experience in your current or former jobs protecting personal and confidential information?* Yes No

If yes, please provide an example

If no, do you have any questions about this expectation?

Review the following information carefully and indicate your acceptance in the spaces provided below:

I certify that the answers given herein are true and complete to the best of my knowledge.

If there are any material omissions or misstatement of facts or any untruths of any nature in this application, or any materials submitted with it, it will be grounds for my immediate termination and/or disqualification for any position with this Company.

I authorize investigation of all statements contained in this application for employment; including my resume, references, work record, education, criminal background, and other matters related to my suitability for employment.

I further authorize the references I have listed or will provide to disclose to the Company any and all reports and other information related to my work records, without giving me prior notice of such disclosure.

I hereby release the Company, my former employers and all other persons, corporations, partnerships, and associations from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure.

I understand they may be necessary in arriving at an employment decision.

I understand that nothing contained in the application/resume, or conveyed during any interview or during my employment, if hired, is intended to create an employment contract between the Company and me.

I understand and agree that if I am employed, my employment is at-will, which means that it is not for a definite period and may be terminated at any time, with or without cause and with or without notice, at the option of either the Company or me.

I also understand that the at-will relationship can only be changed in writing and signed by the Company's CEO and me.

I understand that an applicant's consent to submit to a pre-employment drug test is required as a condition of employment with ASH.

I further understand that an applicant's refusal to consent to a pre-employment drug test will make the applicant ineligible for employment with ASH.

I understand that a positive result on the drug test shall constitute grounds for denying employment or withdrawing an offer of employment with ASH.

ASH shall determine the manner in which such drug testing is conducted, with the goal being to ensure that the test results are accurate.

Acknowledgement* I Agree I Do Not Agree

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