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Step 1 of 6 16% Position Applying For--Please Select A Position--Licensed PsychologistSurgical TechnicianOffice SpecialistPhysical Therapist - NovaCare RehabilitationDirector of FinanceCertified Nursing Assistant/ER TechnicianUltrasound SonographerLPN/CMA - Morris ClinicHousekeeperFood & Nutrition AideOptometristNursing AssistantRadiologic TechnologistHousekeeper - Starbuck ClinicMedical Billing SpecialistI'm applying for multiple positions I'm applying for multiple positions Additional Position Applying For * Required--Please Select A Position--Licensed PsychologistSurgical TechnicianOffice SpecialistPhysical Therapist - NovaCare RehabilitationDirector of FinanceCertified Nursing Assistant/ER TechnicianUltrasound SonographerLPN/CMA - Morris ClinicHousekeeperFood & Nutrition AideOptometristNursing AssistantRadiologic TechnologistHousekeeper - Starbuck ClinicMedical Billing SpecialistI don't see the position I'm applying for listed I don't see the position I'm applying for listed Position you are applying for * Required Please note the position you are interested in applying for here.Contact InformationApplicant Full Name * Required First Middle Last Email * Required Phone * RequiredWhat is the best time to reach you? * Required- Select -MorningAfternoonEveningNightAddress * Required Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Availability InformationAre you at least 16 years of age? * Required Yes No Do you have a legal right to work in the US? * Required Do you have a legal right to work in the US? * What shifts can you work? * RequiredPlease select all that apply. 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Education InformationHighest level of Education- Select -Primary SchoolHigh School Diploma / GEDSome CollegeA.A.S DegreeBachelors DegreeGraduate / Masters DegreePhd / MDSchool Name (Higher Education) Degree(s) Obtained License/Certification InformationTo be completed by registered, licensed, or certified applicants License Number State Expiration Date MM slash DD slash YYYY Employment RecordPrevious or Current Employer * Required May we contact your present employer? * Required Yes No Dates Employed Supervisor Name Supervisor PhoneJob Duties at Previous EmployerReason for leaving Salary Employer 2Previous Employer #2 Dates Employed #2 Supervisor Name #2 Supervisor Phone #2Job Duties at Previous Employer #2Reason for leaving #2 Salary #2 Employer 3Previous Employer #3 Dates Employed #3 Supervisor Name #3 Supervisor Phone #3Job Duties at Previous Employer #3Reason for leaving #3 Salary #3 References *** Please ensure that at least one of your references must be a previous supervisor.Reference 1 - Previous SupervisorName - Reference #1 * Required Phone - Ref #1 * RequiredOccupation - Ref #1 * Required Reference 2Name - Reference #2 * Required Phone * RequiredOccupation * Required Reference 3Name - Reference #3 * Required Phone * RequiredOccupation * Required Additional InformationCommentsUpload your resumeAccepted file types: txt, rtf, pdf, doc, docx, Max. file size: 4 MB.Maximum file size - 4 mega bytes. Agreement * Required I agree to the following.By submitting this online form I authorize the investigation of all statements contained in this application. I understand that misrepresentation or omission of information in connection with my application and/or interview will be sufficient cause, in and of itself, for rejection or dismissal whenever discovered. I understand and agree that any offer of employment is dependent upon satisfactory completion of a pre-employment investigation which includes but is not limited to education and work history verification, reference checks and any investigation required by local, state, or federal laws. I understand that if I am hired by Stevens Community Medical Center or any of its affiliates or subsidiaries, my employment will be for an indefinite period of time and will be “at will”, which means that either I or Stevens Community Medical Center may terminate the employment relationship at any time and for any or no reason. I further understand that, if hired, my at-will employment status may only be changed in a written contract signed by the President of Stevens Community Medical Center or the President’s authorized representative, and that no representative of Stevens Community Medical Center has the authority to make any oral promise to me concerning my employment. Finally, I also understand that while Stevens Community Medical Center supports current policies and benefits, it retains the right to change them at any time, with or without notice. Stevens Community Medical Center is an Equal Employment Opportunity Employer committed to providing a safe, healthy and productive work environment and supports a smoke free, alcohol and drug-free environment. Equal Opportunity Employment Information (Optional) Stevens Community Medical Center does not discriminate against employees on the grounds of race, creed, color, religion, age, sex, disability, national origin, ancestry, public assistance status, affectional preference or marital status. Individuals will not be excluded from employment rights, participation in, or be denied the benefits of, or be otherwise subjected to discrimination under any program service or activity under the provisions of any and all applicable federal, state and local laws against discrimination. This information is needed to determine how effective our recruiting efforts are in the community and other areas; to validate our selection procedures, and to meet the reporting requirements of the Federal Law. The answers to these questions will not be placed in your personnel file and will not be given to any person involved in making a hiring and promotional decision.Zip Code of address currently residing Sex Male Female Non-Binary/Transgender/Gender Non-Conforming Do not wish to answer Race White Black / African American Hispanic/Latino Asian Native Hawaiian and/or other Pacific islander American Indian and/or Alaskan Native Do not wish to answer How did you learn about the job? Telephone inquiry Walk-in Public employment agency Private employment agency Want ads Out of state wants ads School/College placement office Job Fair Tour Rehire Employee referral Provide the first & last name of the employee who referred you. Disabled No Yes Do not wish to answer CAPTCHANameThis field is for validation purposes and should be left unchanged.
