Employment Application

I hereby authorize Bristow Medical Center, including any of its affiliates, to obtain from my former employers all data and records, including the same from a consumer-reporting agency needed to support this application. I hereby release my former employers and individuals connected therewith, and further release Bristow Medical Center from all liability for any damage whatsoever incurred in furnishing such information. I hereby certify that the foregoing statements are to the best of my knowledge true and correct, and I agree that any misstatements or omissions of material facts will constitute grounds for denial of or dismissal from employment. I hereby acknowledge that I am willing to work the scheduled shifts pursuant to the employee handbook. I am aware my employment may be conditioned upon the successful completion of a post-offer physical examination which will include a test for substance abuse, and receipt of valid documentation verifying my eligibility for employment. In consideration of my employment, I agree to conform to all local state and federal laws and to the rules regulations policies and procedures of Bristow Medical Center. In addition, I understand and agree that any employee handbook, which I may receive, will not constitute an employment contract, but will be a general statement of Bristow Medical Center’s policies. I further understand that employment is at will.