Please read the following terms and conditions that govern employment at Behavioral Medical Center - Troy.

TRUTHFULNESS OF APPLICATION INFORMATION

All the information provided by me in support of my application for employment is true and complete. Any false information, misrepresentation, or material omission may result in discipline or discharge.

AUTHORIZATION OF DISCLOSURES

Behavioral Medical Center - Troy may verify all information about this application. I authorize all individuals and organizations named in this application to provide verification information, including their opinions about me, my performance and my abilities. I further authorize them to release any information from my personnel record, including my prior disciplinary record, to Behavioral Medical Center-Troy without any written notice to me of that disclosure. I release Behavioral Medical Center – Troy and these individuals and organizations from any liability that may result from the verification process or the disclosure of my personnel record.

I authorize the BMC to conduct a thorough background investigation of my work and personal history, and verify all data given on this application and during interviews. I hereby release Behavioral Medical Center – Troy and its representatives or agents, from any liability that might result from such an investigation. I authorize all individuals, schools, and firms to provide any requested information and release them from all liability for providing the requested information.

I authorize the physician or clinic to release to Behavioral Medical Center – Troy results of any physical examination and drug test. I waive any claims based on the physical examination, drug test, and the release of the examination and drug test results to Behavioral Medical Center – Troy.

I waive any claims based on any of these inquiries and disclosures. I also release Behavioral Medical Center – Troy from any liability based on the inquiries and disclosures.

ACCOMMODATION OF DISABILITIES

I understand that Behavioral Medical Center – Troy will reasonably accommodate, as required by law, disabled employees. Under Michigan law, I have 182 days from the date I know or reasonably should know that an accommodation is needed to request, in writing, an accommodation.

EXPIRATION OF APPLICATION

This application will be null and void after six months.

AT-WILL EMPLOYMENT:
IF HIRED, I AGREE:
1. Behavioral Medical Center – Troy may terminate my employment at its will for any reason or no reason, with or without cause, at any time, with or without advance notice or warning, and its decision is not subject to outside review, except as may be provided by applicable statute.

2. No employee, manager, executive, or other representative of Behavioral Medical Center – Troy, other than the President, has any authority to enter into any agreement for employment for any specified period of time or to make any oral or written representation or practice contrary to the at-will nature of my employment as explained in Paragraph #1.

3. Only an agreement in writing expressly for the purpose of modifying the at-will nature of my employment and signed by me and the President of Behavioral Medical Center – Troy can modify the at-will nature of my employment as explained in Paragraph #1.

4. No other oral or written statement, policy, or practice can change the at-will nature of my employment as explained in Paragraph #1. My acceptance of employment as an at-will employee would supersede and negate any prior statements or agreements, oral or written, that Behavioral Medical Center – Troy would employ me on other than an at-will basis or for other than an indefinite term.

5. To abide by all rules and regulations of Behavioral Medical Center – Troy.

LIMITATIONS ON LITIGATION

In consideration of my employment, if hired, I agree:

1. To waive trial by jury of any claims under any Michigan or federal statutes or under the common law that I may have against Behavioral Medical Center - Troy.

2. Any award in any civil action against Behavioral Medical Center – Troy alleging that it discharged me in violation of any Michigan or federal statute or any common law obligation will be limited to reinstatement, if available under the applicable statute, and back-pay, minus any interim earnings.

3. Not to commence any lawsuit relating to my employment or the termination of my employment with Behavioral Medical Center – Troy more than six months after the date of termination of my employment and to waive any statute of limitation contrary to this six month period.

DOCUMENTATION AND CERTIFICATION OF AUTHORIZATION TO WORK IN USA

I certify that I am legally authorized to work in the United States. I understand that any offer of employment is conditional upon my ability to provide documents required by the Immigration Reform and Control Act of 1986 proving both my identity and authorization to work in the United States, and that failure to produce the documents will result in revocation of the offer or the termination of employment.

I understand that the authorizations and acknowledgements above state terms and conditions governing my employment with Behavioral Medical Center – Troy and that my signature below indicates that I have read the terms and conditions stated above and accept them.