Mon-Thurs 8am to 5pm, Fri 8am to 4:30pm
List school name and location, years completed, course of study and any degrees earned.
Select the number which corresponds to your ability for each particular skill. List any other skills that may be useful for the job you are seeking.
I certify that the information provided on this application is accurate. I understand that withholding of information or giving false information will result in a refusal to hire or in disciplinary action up to and including termination of my employment.
I authorize permission to any person, firm or corporation to release to Tyler Internal Medicine Associates, P.A. all information regarding past employment and background. I waive any and all claims with respect to providing this information. I hereby release said company or person from all liability for any damage or issuing of this information. I understand that any future offer of employment may be conditional upon results of examinations authorized under the law as may be required by Tyler Internal Medicine Associates, P.A.
In consideration of employment, I agree to conform to policies of Tyler Internal Medicine Associates, P.A. I understand and acknowledge that, unless otherwise defined by law, any employment relationship with Tyler Internal Medicine Associates, P.A. is of an “at will” nature, which means the employee may resign at any time and the employer may discharge the employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or conduct unless the President of this organization specifically acknowledges such change in writing.
Any offer of employment is conditional upon providing documentation establishing identity and authorization to work in the United States, as required by the Immigration Reform and Control Act of 1986 and any amendments thereto. All documentation will be requested for submission at time of hire.
In the event of employment, I understand that false or misleading information given in my application or interview(s) will result in discharge. I understand that employment is contingent upon meeting the physical requirements of the position for which I am being considered.
Tyler Internal Medicine requires that you certify your application by submitting an electronic signature. To certify your application, read the text below and provide an electronic signature (type your name) and click Submit. I certify that all the information within this form is accurate and true.