I authorize Amit Health System Staffing permission to conduct an investigation to obtain information which the company
thinks is necessary to determine my qualifications for employment with the company, including but not limited to, my
permission to contact any former employer, or any other local, state or federal government agency, any police department,
law enforcement agency or organization, or any other local, state or federal government agency, any consumer reporting
agency, or any other appropriate source or individual for the purpose of gathering information, personal or otherwise, that
such sources may have relating to my character, general reputation or criminal records, and I give my consent to any
source to release to the company whatever information they have about me.
I understand and agree that if medical restrictions cannot be reasonably accommodated, I may not be hired, or if hired,
employment may be terminated. I also understand that subject to state laws, Amit Health system staffing reserves the right
to conduct drug screening and testing for reasonable suspicion at any time during employment or pre-employment
screening. Any violation of this policy may result in an applicant not being hired or adverse employment action such as
immediate termination.*