King's Daughters Medical Center
Application for Employment
This application shall become inactive after 1 year, but may be reactivated for an additional 1 year by written request of the applicant.
"Equal opportunity is given to all applicants regardless of race, creed, color, national origin, sex, age or individuals with disabilities."
When you are ready to begin, click the next button below. Please allow about 30-minutes to complete the application.
Work History
Please enter your work history details in the following sections starting with your most recent.
Licensure
Please enter details about your licensure below:
Agreement Terms - Please READ CAREFULLY
I certify that the answers given by me to the foregoing questions and statements are true and complete to the best of my knowledge, and that I have withheld nothing that would, if disclosed, affect this application unfavorably. I acknowledge that misrepresentation or omission of facts called for in this application is cause for my not being hired or my termination at any time without previous knowledge to me.
I authorize the hospital, or its agent, to obtain any information about my work history or personal information, including my character and qualifications, credit rating, driving record, criminal record, education and previous employment. I authorize all persons, schools, companies, information service bureaus, governmental agencies and law enforcement authorities to release any information concerning my background to the hospital, whether or not it is in their records. I also authorize the hospital to obtain this information from any company that is in the business of providing applicant background checks. I hereby release the individuals or entities providing this information from all liability or any damage caused by issuing this information.
I agree to submit myself upon request by the hospital, subsequent to a conditional job offer, for physical examination by a physician designated by the hospital, and to future physical or mental examinations the hospital may require at a later date as a condition of continued employment, as may be permitted by law.
If employed, I agree as a condition of continued employment to acquaint myself with, and to abide by all Rules, Regulations and Policies as established or amended by the hospital. However, I understand that my employment and compensation can be terminated with or without notice at any time, and for any reason, at the option of the hospital or myself. Nothing in this Application of Employment should be construed to consitute a contract of employment between the hospital and the applicant. I understand that my terms and conditions of employment may be changed at any time.
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Thank you for your application. Your information has been transmitted to:
King's Daughters Medical Center
Human Resources Department
If you have a resume you would like to send in addition to this application, you can send it via email or fax:
humanresources@kdmc.org
601-835-9183 (fax)