Cahaba Employment Application

First, Middle, Last Name: * Address * City, State: * Cell Phone Number: * Email Address: * Date Available to start: * Position Desired * Type Of Employement: * Salary/Hourley Requirement: * Are you willing to travel? * Weekend Availability (Spa Cahaba Only) * Are you Currently Employed? * Are you authorized to work in the United States on a unrestricted basis? * Are you willing to take a drug screen and background check? * Do you have any professional Licenses or Certifications? * Have you ever used an EMR? If yes, what system(s)? * Are you comfortable in a fast-paced environment? * What are three words your fellow coworkers would use to describe you? * What would your biggest critics say about you? * Who are your biggest role models in your life? * What will make you our next amazing employee? * If hired, what mark will you leave on our office? * What is your favorite movie and/or book? * Please add Reference #1 * Reference Phone Number: * Reference Email: * Please add Reference #2 * Reference Phone Number: #2 * Reference Email: #2 *

Once application is submitted, I hereby certify that my answers and selections set forth in this application are true and complete to the best of my knowledge. If I am employed, I understand that any false statements on this application shall be considered sufficient cause for my dismissal. I hereby authorize this company to investigate any aspect of my prior educational and employment history. Furthermore, I understand that if I am hired, employment with this company is "at will" which means that either the company or I can terminate my employment for any reason not prohibited by state or federal law.