就业应用程序

This employment application must be filled out and submitted. Submissions without a 完整的d application will 不 审查.

Please 不e that the HR department does 不 handle the recruitment of Physicians and Advanced Practice Providers. Physician and Advanced Practice Provider who would like to inquire about opportunities with 澳门赌场电玩网投 or MCHD Partner Organizations should contact administration at (979) 241-5520 and ask for the Business Development Office.

    个人

     

    姓*

    第一个名字*

    中间的名字

    其他的名字

    家庭电话*

    LAST 4 DIGITS OF YOUR SOCIAL SECURITY 数量*:

    000-00-

    街 & 数量*

    城市*

    状态*

    邮政编码*

    喜欢电话*

    美国公民*
    是的NO

    IF NO, TYPE OF WORK AUTHORIZATION DOCUMENT:

    过期日期:

    最后以前的街道地址*:

    恰当的. NO

    城市*

    状态*

    邮政编码*

    居住日期*

    电子邮件*

    工作数据

     

    期望职位1*:

    期望职位2:

    寻求*

    愿意加班*:

    列表移位首选项*:

    愿意加班*
    是的NO

    周末可以上班*
    是的NO

    薪水要求*:

    你目前有工作吗??*是的NO

    MAY WE CONTACT YOUR PRESENT EMPLOYER?*是的NO

    PREVIOUSLY EMPLOYED BY MATAGORDA COUNTY HOSPITAL DISTRICT*
    是的NO

    如有，雇用日期:

    可上班日期*:

    U.S. 军事

     

    服务部门

    日期输入

    卸货日期

    出院时的军衔

    NATURE OF DUTIES AND SPECIAL TRAINING RECEIVED:

    教育和培训

     

    请注明学历, 职业, 在职, OR ANY OTHER TRAINING YOU HAVE RECEIVED WHICH WILL AID US IN PLACING YOU IN THE POSITION THAT BEST MEETS YOUR QUALIFICATIONS AND/OR IN DETERMINING YOUR QUALIFICATIONS FOR A POSITION FOR WHICH YOU DESIRE TO BE CONSIDERED.


    高中名称


    学校位置

    DIPLOMA, DEGREE AND/OR TRAINING RECEIVED


    大学的名字


    学校位置

    DIPLOMA, DEGREE AND/OR TRAINING RECEIVED


    大/小


    研究生院名称


    学校位置

    DIPLOMA, DEGREE AND/OR TRAINING RECEIVED


    大/小


    其他学校名称


    学校位置

    DIPLOMA, DEGREE AND/OR TRAINING RECEIVED


    大/小

    外语:

    语言:

    打字速度

    PLEASE LIST COMPUTER HARDWARE/SOFTWARE, AND ANY OTHER OFFICE EQUIPMENT USED*:

    ARE YOU REGISTERED, CERTIFIED, OR LICENSED FOR ANY PROFESSION, SKILL, OR TRADE? 请指定


    没有许可.


    状态


    年获得了


    截止日期

    DO YOU HAVE ANY STIPULATIONS AGAINST YOUR LICENSE?*

    是的NO

    如果是，请解释

    一般

     

    HAVE YOU EVER BEEN CONVICTED OF OR BEEN ON DEFERRED ADJUDICATION FOR, OR ARE YOU NOW EITHER AWAITING TRIAL FOR OR ON DEFERRED ADJUDICATION FOR, 重罪或轻罪?*是的NO

    IF 是的, DESCRIBE IN FULL, INCLUDING DATES AND LOCATIONS.

    CONVICTION WILL NOT NECESSARILY BAR EMPLOYMENT.

    工作经验

    产品说明: LIST BELOW YOUR EMPLOYMENT HISTORY, BEGINNING WITH YOUR 最近的雇主. ACCOUNT FOR ALL PERIODS OF TIME INCLUDING ANY PERIODS OF UNEMPLOYMENT AND THE REASONS THEREOF. REQUESTED INFORMATION MUST BE COMPLETED, EVEN IF RESUME' ACCOMPANIES APPLICATION.

    雇主名称

    业务类型

    街道地址

    YOUR NAME AS IT APPEARED IN EMPLOYER'S RECORDS

    城市，州，邮政编码

    从月

    从年

    月

    年

    起薪

    最后的支付

    主管的姓名和头衔

    电话

    职称(S)

    职责描述

    离职原因

     

    雇主名称

    业务类型

    街道地址

    YOUR NAME AS IT APPEARED IN EMPLOYER'S RECORDS

    城市，州，邮政编码

    从月

    从年

    从月

    从年

    起薪

    最后的支付

    主管的姓名和头衔

    电话

    职称(S)

    职责描述

    离职原因

     

    雇主名称

    业务类型

    街道地址

    YOUR NAME AS IT APPEARED IN EMPLOYER'S RECORDS

    城市，州，邮政编码

    从月

    从年

    月

    年

    起薪

    最后的支付

    主管的姓名和头衔

    电话

    职称(S)

    职责描述

    离职原因

     

    雇主名称

    业务类型

    街道地址

    YOUR NAME AS IT APPEARED IN EMPLOYER'S RECORDS

    城市，州，邮政编码

    从月

    从年

    月

    年

    起薪

    最后的支付

    主管的姓名和头衔

    电话

    职称(S)

    职责描述

    离职原因

    IF YOU HAVE ADDITIONAL PLACES OF EMPLOYMENT, ASK FOR AN ADDITIONAL APPLICATION

    你是如何被推荐到MCHD的?

    DO YOU HAVE RELATIVES EMPLOYED AT MCHD?*是的NO

    如果有，是谁??

    部门

    的关系?

     

     

    I hereby certify that the information I supplied in this application is true, 完整的, and correct to the best of my knowledge, and I understand that any information I withheld or falsely provided in connection with the foregoing application shall be cause for rejection of this application or termination of employment. I hereby authorize Matagorda County Hospital District, 没有责任, to contact prior employers (present employers if authorized), schools or references I have given and authorized said employers, schools or references to make full response to any inquiries by Matagorda County Hospital District in connection with this application for Employment, 包括警方记录. I agree to observe and abide by all rules, 规定, policies and procedures of Matagorda County Hospital District.

    I UNDERSTAND AND AGREE THAT IF EMPLOYED, MY EMPLOYMENT WITH THE HOSPITAL DISTRICT WILL BE AN "AT WILL" 的关系 AND MY EMPLOYMENT MAY BE TERMINATED BY ME OR THE HOSPITAL DISTRICT AT ANY TIME WITHOUT NOTICE, 有或没有原因. I ALSO UNDERSTAND AND AGREE THAT THE "AT WILL" NATURE OF THIS 的关系 CANNOT BE MODIFIED EXCEPT BY SPECIFIC WRITTEN CONDITIONS OF MY EMPLOYMENT, INCLUDING MY COMPENSATION AND BENEFITS, CAN BE CHANGED OR TERMINATED WITHOUT CAUSE OR NOTICE AT ANY TIME BY THE HOSPITAL DISTRICT, 这是员工手册, 政策手册, OR OTHER HOSPITAL COMMUNICATIONS TO EMPLOYEES ARE NOT TO BE CONSTRUED AS CREATING ANY FORM OF CONTRACT OR EMPLOYMENT AGREEMENT BETWEEN THE UNDERSIGNED AND THE HOSPITAL DISTRICT.

    我理解并同意, that as a condition of employment I will be required to pass a scheduled drug/alcohol screening.
    Matagorda County Hospital District promotes a 无烟、无毒环境.

    I HAVE 读, UNDERSTAND, AND AGREE TO THE FOREGOING PARAGRAPHS.

    申请人签名 *:

    日期:

     

    附上的简历:

    Attachments allowed doc,docx,pdf only.