Care Technician - PRN (2024)

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I certify that all the information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date. I understand that Vail Health may request an investigative consumer report from a consumer reporting agency. I understand I have the right to make a written request within a reasonable time for the disclosure of the name and address of the consumer reporting agency so that I may obtain a complete disclosure of the nature and scope of the investigation. Vail Health may request information as to my character, reputation, personal characteristics and mode of living from my neighbors, friends, former employers, school and other. I authorize that investigation of any or all statements contained in this application and also authorizes whether listed or not, any person, school, current employers (except as previously noted), past employers and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying. I agree to immediately disclose to Vail Health any debarment, suspension, exclusion, conviction of a criminal offence, or other event that may make me ineligible to participate in federally funded healthcare programs. I understand and I will be required to successfully pass a drug screening examination. I hereby consent to a drug screening as a condition of employment.

I UNDERSTAND THAT THIS APPLICATION OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE A CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. IF EMPLOYED , I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF VAIL HEALTH OR ONE OF ITS OUTREACH FACILITIES AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OUT WITHOUT CAUSE AND WITH OR WITHOUT NOTICE.

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For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.

As set forth in Vail Health Hospital’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

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If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

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We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.

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