am able to perform all the essential functions of the position as described in the Position Description.
I understand that if I am extended an offer of employment it may be conditioned upon my successfully passing a complete pre-employment physical examination . I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying.
I understand that if I am selected for a position dealing directly with patients, I may be required to successfully pass a drug screening examination and submit my PA PSP, PA Child Abuse and FBI background checks. I hereby consent to a pre and/or post employment drug screen as a condition of employment, if required. (Note, Susquehanna Township EMS is required by contract and regulation to perfom criminal background checks and drug screening).
I certify that all information contained in this employment application is true and complete to the best of my knowledge. I understand that any false information or omissions may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.