Quantum Health is committed to a policy of Equal Employment Opportunity and will not discriminate on any legally recognized basis, including, but not limited to, race, age, color, religion, sex, national origin, citizenship, ancestry, physical or mental disability, veteran status or any other basis recognized by federal, state or local law.

Contact Information:

Position:

EDUCATION:

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WORK EXPERIENCE:

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REFERENCES

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Applicant Certification

– PLEASE READ CAREFULLY I understand that this Application is not a contract, offer or promise of employment. I acknowledge that employment with the Company is on an employment-at-will basis. This means that my employment with the Company can be terminated at any time, with or without cause or advance notice. This also means that acceptance of employment is not a contract of employment for any specified time. Similarly I am free to terminate my employment with the Company at any time for any reason. This at-will relationship may be modified or waived only in a written agreement signed by the Company’s President and me. I further understand that I am responsible for being familiar with the Company’s policies and procedures. I understand that the Company has complete discretion to modify its policies and procedures at any time, to the extent permitted by federal, state or local law, except that it will not modify its employment-at-will policy. By my continued employment with the Company, I consent to any such changes. I certify that the above information, and any contained on my resume, is complete and accurate to the best on my knowledge. I understand that any falsification, misrepresentation or omission of information on this application, or relating to my application for employment, may result in my denial of employment, or if employed, my immediate dismissal. I hereby authorize the Company or its agents to confirm all statements in this Application and my resume to the extent permitted by federal, state or local law. I hereby authorize the Company to contact my references unless I specifically stated otherwise in this Application. I release all parties from any liability arising out of this authorization and the use of such information.

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