* = Required Information
Limited Service (9 or 10 months/year)
Unique Advantage Part-time
Penn HR Website/Internet
Print Ad
Yes No
Expiration Date:
Yes No
Yes No
Yes No
Yes No
Yes No


You MUST complete this information in full. “SEE ATTACHED RESUME” IS NOT ACCEPTABLE .

Veracity Health Systems LLC (VHS) values diversity and seeks talented staff from diverse backgrounds. Veracity Health Systems LLC does not discriminate on the basis of race, color, sex, sexual orientation, gender identity, religion, creed, national or ethnic origin, citizenship status, age, disability, veteran status or any other legally protected class status in the administration of VHS.

Please read carefully and sign:

I have carefully read the application statement and have provided accurate information to the best of my knowledge. The facts set forth in this application are true and complete. Permission is given to Veracity Health Systems LLC to verify all information I have provided in this application. I authorize all persons or entities I have referred to in this application to provide any relevant information to Veracity Health Systems or its agents for use in investigation and release them from any liability doing so.

I understand and agree that any omission or misrepresentation of facts in my application will be justification for refusal or termination of employment. I understand that this employment application and any other VHS documents or statements are not contracts of employment. I acknowledge that employment at VHS is at will, meaning I will be free to leave at anytime and my appointment may be terminated for any reason at any time. Employment is contingent upon satisfactory completion of employment and reference checks. A minimum of two reference checks are required for employment, one of which must be from the applicant’s current supervisor.