Application for Employment

Fill in the Application Form or Upload your resume here:

  • (Provide information applicable to position applying for)
  • (please do not list relatives)

  • College/University

  • Trade School


  • In order to verify information, please indicate the name under which you were employed if the name is different to your actual name.
  • Upon receiving an offer of employment, all candidates selected for any position must successfully complete a pre-placement background investigation and a medical examination including a test designed to detect the presence of illegal drugs, prior to the first day of employment. Interstate Rehab will hire only individuals who have the legal right to work in the U.S. in accordance with Federal Law. Please read the following CAREFULLY before signing this application form.
  • I understand that all offers of employment are conditioned on my successful completion of a criminal background investigation, a medical examination, a test designed to detect the presence of illegal drugs (I will disclose any legal drug use before a test is administered), on Interstate Rehab receipt of satisfactory proof of my identity and legal authority to work in the United Stated. Please read the following CAREFULLY before signing this application form.
  • I understand that any misrepresentation, falsification or material omission of information may result in my failure to receive an offer or, if I am hired, in my immediate dismissal from employment. In consideration of my employment, I agree to conform to the rules and standards of Interstate Rehab and assigned facilities, as they may be amended, and agree that my employment and compensation can be terminated at will, with or without cause, and with or without notice, at any time, either at my option or at the option of Interstate Rehab.
  • I understand that no employee or representative of Interstate Rehab, other that the President of Interstate Rehab has the authority to enter into any agreement for employment for any specified period of time, or to make any express or implied agreement contrary to the foregoing. Further, the President of Interstate Rehab may not alter the at-will nature of the employment relationship or enter into any employment agreement for a specified time unless the President of Interstate Rehab and I both sign a written agreement that clearly specifies the intent to do so. I agree that this shall constitute a final and fully binding integrated agreement with respect to the at-will nature of my employment relationship and that there are no previous arrangements or oral or collateral agreements regarding this issue.