The Well | Apply
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The WELL

An Equal Opportunity Employer
APPLICATION FOR EMPLOYMENT
In order for you to be considered for employment, this application must be filled out in its ENTIRETY.

General Information
Legal

(Proof of identity and legal authority to work in the U.S. is a condition of employment.)

(Convictions will not necessarily exclude you from employment, but date and type of conviction may be considered for job placement.)

Employment Preferences
Education
High School
College
Trade School
Employment Experience - List at Least 3 Employers
Employer 1
Employer 2
Employer 3
Legal Notices

I AFFIRM THAT ALL INFORMATION IN THIS APPLICATION IS TRUE AND COMPLETE. ANY MISREPRESENTATION, FALSE STATEMENT, OR OMISSION OF FACTS CALLED FOR SHALL BE GROUNDS FOR REFUSAL OF EMPLOYMENT OR IF HIRED, DISMISSAL FROM EMPLOYMENT. I UNDERSTAND THAT ANY VIOLATION OF COMPANY RULES, POLICIES, STANDARDS, AND/OR PROCEDURES SHALL BE GROUNDS FOR DISMISSAL. I AGREE TO CONFORM TO THE RULES, POLICIES, STANDARDS, AND REGULATIONS OF THE WELL.

I UNDERSTAND THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME AT THE OPTION OF THE WELL, AND I UNDERSTAND THAT NO REPRESENTATIVE OF THE COMPANY HAS THE AUTHORITY TO MAKE ANY MODIFICATIONS, EITHER VERBALLY OR IN WRITING TO THE CONTRARY.

I UNDERSTAND AND CONSENT TO THE EMPLOYER’S POLICY REQUIRING DRUG TESTS IN THE EVENT OF A JOB RELATED INJURY. I HEREBY WAIVE ANY LEGAL CLAIMS AGAINST THE WELL ARISING OUT OF THE RESULTS OF THIS TEST. I UNDERSTAND THAT IF I DO NOT SUCCESSFULLY COMPLETE THE DRUG TEST, THAT I WILL BE SUBJECT TO IMMEDIATE TERMINATION.

IT IS THE POLICY OF THE WELL TO HIRE ONLY U.S. CITIZENS AND ALIENS WHO ARE LAWFULLY AUTHORIZED TO WORK IN THE UNITED STATES.

ALL EMPLOYEES WILL BE ASKED TO VERIFY EMPLOYMENT ELIGIBILITY PRIOR TO BEGINNING WORK.

I UNDERSTAND THAT AS AN EMPLOYEE OF THE WELL, I WILL BE SUBJECT TO A THIRTY (30) DAY PROBATIONARY PERIOD. DURING THIS TIME, I CAN BE TERMINATED FOR PERFORMANCE THAT IS NOT IN KEEPING WITH THE STANDARDS OF THIS ESTABLISHMENT.

I HAVE READ AND UNDERSTAND THE ABOVE STATEMENTS AND I AFFIRM THAT ALL INFORMATION IN THIS APPLICATION IS TRUE AND COMPLETE.

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