WELL CONNECTED CHIROPRACTIC

EMPLOYMENT APPLICATION

Well Connected Chiropractic is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, gender, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. Our non-discrimination policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Well Connected Chiropractic makes hiring decisions based solely on qualifications, merit, and business needs at the time.

Additionally, Well Connected Chiropractic also makes reasonable accommodations for disabled employees and employees with sincerely held religious beliefs.

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Note: It is the practice of Well Connected Chiropractic to maintain a safe, and efficient working environment. As part of this practice, upon a conditional offer of employment, we may conduct background and/or reference checks. In addition, if hired, you must furnish proof of your authorization to work in the United States as specified under applicable U.S. Immigration Laws. One of these documents must be photo identification. If you are employed by Well Connected Chiropractic, you understand and agree that your employment is on an "at will" basis and may be terminated with or without cause, with or without notice at any time, at the option of either Well Connected Chiropractic or yourself. You understand that as a condition of employment all applicants will be asked to sign a confidentiality, non-disclosure agreement. Failure to sign or abide by such agreements may result in dismissal.

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(1) I certify that the answers I have given to the foregoing questions and statements are true and correct, under penalty of perjury of the laws of my state and federal law, and I authorize Well Connected Chiropractic to verify them.
(2) If I obtain employment resulting from this application, I agree to comply with all orders, rules, and regulations of the Company.
(3) I authorize Well Connected Chiropractic to conduct reference checks from my former employers and authorize all educational institutions to give transcripts of my records and grades. I release them and their organizations from all liability for any damage whatsoever for issuing same.
(4) If hired, evidence of my highest education degree may be required prior to start date.
(5) If upon investigation, anything in this application is found to be untrue, I understand that I will be subject to dismissal at any time during the period of my employment.
(6) I understand that, in connection with my application for employment or during my employment if I am employed, Well Connected Chiropractic may obtain background check information either from publicly available records or through an investigative consumer reporting agency. If information is received through publicly available records (pursuant to California Civil Code section 1786.53):