White Mountain Regional Medical Center

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At WMRMC we understand that you have put a lot of time and effort into your resume and/or CV. We have simplified this application to reflect our appreciation for your efforts. Please be sure to submit your resume/CV complete with your work history and all relevant information.

The data provided in this application is deemed private and will be used solely for assessing your potential employment at this hospital. We request that you supply detailed information as specified in the application. We welcome any extra details you think are relevant to the job you're seeking.

Position applying for:

Position:

Type:

Wage Range:

Apply for an additional position:

Personal information:

First name: *

Last name: *

Middle initial: *

Address 1: *

Address 2:

City: *

State: *

Zip Code: *

Phone (ex: 444-555-6666): *

Email: * (invalid email)

Are you at least 18 years old? *

Are you able to meet the attendance requirements of the position? *

Are You Legally Authorized to Work in the U.S. (Proof of eligibility will be required if hired)? *

Have you ever worked at WMRMC? * if yes, when?

Have you been convicted of a Felony in the last (7) years (such conviction may be relevant if job related, but does not bar you from employment)? *

Are you currently excluded from participation in any federally funded healthcare program - including Medicare and Medicaid - and are you aware of any potential exclusion from a federally funded health program? *

Education:

School name and address: *

Major: *

Dates attended: *

School name and address:

Major:

Dates attended:

If not already listed on your resume please list any professional licenses, registration or certification you possess:

If not already listed on your resume summarize any special skills, qualifications, or other experience that may qualify you to work at our Medical Center:

Employment History:

Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent. Please attach a resume if applicable. Incomplete information could disqualify you from further consideration.

From: *

To: *

Employer: *

Phone: *

Job Title: *

Name Of Supervisor: *

Address: *

City: *

State: *

Reason For Leaving: *

Hourly Rate Salary: *

Responsibilities: *

From:

To:

Employer:

Phone:

Job Title:

Name Of Supervisor:

Address:

City:

State:

Reason For Leaving:

Hourly Rate Salary:

Responsibilities:

From:

To:

Employer:

Phone:

Job Title:

Name Of Supervisor:

Address:

City:

State:

Reason For Leaving:

Hourly Rate Salary:

Responsibilities:

From:

To:

Employer:

Phone:

Job Title:

Name Of Supervisor:

Address:

City:

State:

Reason For Leaving:

Hourly Rate Salary:

Responsibilities:

From:

To:

Employer:

Phone:

Job Title:

Name Of Supervisor:

Address:

City:

State:

Reason For Leaving:

Hourly Rate Salary:

Responsibilities:

References:

Give the names of three persons not related to you, whom you have known at least three (3) years

Name: *

Position: *

Address: *

Phone: *

Number of years known reference: *

Name:

Position:

Address:

Phone:

Number of years known reference:

Name:

Position:

Address:

Phone:

Number of years known reference:

Upload your Resume/CV/Cover Letter:

Release and Understanding:

Please Review and Acknowledge That You Understand The Following.

In making application for employment:

* I certify that the information in this application is true and complete for all practical purposes. It may be verified by the facility or any affiliate. Should a position be offered and later it is found that the information is significantly untrue, incomplete, or misrepresented, I understand and agree that the facility or its affiliates are relieved of all commitments, financial or otherwise pertinent to employment, and that I am subject to immediate discharge without recourse.

* I understand that an investigative report may be made by a consumer reporting agency to include information as to my character, general reputation, personal characteristics, and mode of living, whichever may be applicable. If such an investigative report is made, I understand that I will receive notice that such a report has been requested, and that I will have the right to make a written request for a complete and accurate disclosure of additional information concerning the nature and scope of the investigation.

I UNDERSTAND AND AGREE THAT ANY EMPLOYEE HANDBOOK WHICH I MAY RECEIVE WILL NOT CONSTITUTE AN EMPLOYMENT CONTRACT, BUT WILL BE MERELY A GRATUITOUS STATEMENT OF FACILITY POLICIES.

* I understand that the facility reserves the right to require its employees to submit to blood tests or urinalyses for alcohol or drug screens, or to allow inspection of bags (including purses or briefcases) or parcels brought into or taken out of the facility. I understand that refusal to submit to a urinalysis or blood test, when requested to do so, may result in termination of my employment.

* Compliance with this facility's Substance Abuse Policy is a condition of employment. This hospital requires that every newly hired employee be free of alcohol or drug abuse. Each offer of employment is contingent upon successfully completing a urinalysis test/screen for alcohol and drugs in accordance with hospital policy. Continued employment is also contingent upon compliance with the hospital's Alcohol and Drug Abuse Policy.

I UNDERSTAND AND AGREE THAT IF I AM OFFERED EMPLOYMENT BY THE FACILITY, MY EMPLOYMENT WILL BE FOR NO DEFINITE TERM AND THAT EITHER I, OR THE FACILITY WILL HAVE THE RIGHT TO TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, I ALSO UNDERSTAND THAT THIS STATUS CAN ONLY BE ALTERED BY A WRITTEN CONTRACT OF EMPLOYMENT WHICH IS SPECIFIC AS TO ALL MATERIAL TERMS AND IS SIGNED BY ME AND THE ADMINISTRATOR OF THE FACILITY.

Release:
I hereby authorize any prior employers to provide such information concerning my employment with them as may be requested, and also authorize the Registrar/Placement Office of all educational institutions attended to release an official copy of my transcript and, if available, faculty appraisals. I also authorize any appropriate licensing board to release full information concerning my licensure status and my licensure history.

I agree that I will settle any and all claims, disputes or controversies arising out of or relating to my application for employment, employment or termination of employment with the employer exclusively by final and binding arbitration and before a neutral Arbitrator and in accordance with the rules and procedures for employment disputes adopted by the employer. Such claims shall include those that could be brought in a court of law under any applicable federal, state or local statutory or common law, such as the Age Discrimination in Employment Act, Title VII of the Civil Rights Act of 1964, as amended, including the amendments of the Civil Rights Act of 1991, the Americans with Disabilities Act, the Family and Medical Leave Act, state civil rights acts, the law of contract and the law of tort.

I have read and understand these conditions of employment
Please agree to our conditions of employment

White Mountain Regional Medical Center Is An Equal Opportunity Employer

In order to provide equal employment and advancement opportunities to all individuals, employment decisions at White Mountain Regional Medical Center will be based on merit, qualifications, and abilities. White Mountain Regional Medical Center does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, national origin, age, disability or any other classification in accordance with federal, state and local statutes, regulations and ordinances.

Openings

If an open position is not currently available, we will maintain your application for 90 days and consider it for future openings. If you meet the qualifications of the position and are selected for an interview, Human Resources or the Hiring Manager will phone or e-mail you. Thank you for your interest in White Mountain Regional Medical Center.

Official Application

Please review our current job postings. If you are interested in applying for a position, please fill out our official online job application located at the bottom of each job posting.

Legal Information

Upon submitting your application we will take every effort to review it for proper consideration. If your qualifications meet the current needs of White Mountain Regional Medical Center, our Human Resources Department will contact you.

Drug Testing

White Mountain Regional Medical Center is committed to providing a safe, efficient, and productive work environment for all employees. To help ensure a safe and healthful working environment, each applicant to whom an offer of employment has been made will be required as a condition of employment to undergo a substance test. Applicants will be asked to read the policy and sign a Consent to Drug Screening.

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WMRMC Employment Center

Position applying for:

Personal information:

Education:

Employment History:

References:

Upload your Resume/CV/Cover Letter:

Release and Understanding:

White Mountain Regional Medical Center Is An Equal Opportunity Employer

Openings

Official Application

Legal Information

Drug Testing