I understand that this position requires working within our health centers, administration offices and remotely.✱

Were you referred to PPSAT for possible employment?✱

Do you have any family members currently employed by PPSAT? Family members may include: partner, spouse, child, legal guardian, parent, sibling, aunt, uncle, niece, nephew, cousin, grandparent, grandchild, in-law, or step relative.✱

Can you perform the essential functions of the job with or without reasonable accommodation? (Disclaimer: PPSAT is committed to the full inclusion of all qualified individuals. As part of this commitment, PPSAT will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Elizabeth Boothe at elizabeth.boothe@ppsat.org)✱

I have given Planned Parenthood South Atlantic true and complete information on this application. I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give Planned Parenthood South Atlantic permission to contact previous employers, references, and others, and hereby release Planned Parenthood South Atlantic and its employees, directors and officers from any and all liability as a result of such contact. I acknowledge that all employment at Planned Parenthood South Atlantic is at-will. I understand that a job offer is contingent upon an investigative background check that may include information as to my criminal records, driving records, credit records, character, social media accounts, and general reputation.✱