April 12, 2023April 17, 2023 Application for Employment Position Applying for: *Position Type: * Full-time Part-time PRNDate Available to Work *Full Name: *Street Address: *City *State *AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMinor Outlying IslandsMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasU.S. Virgin IslandsUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip Code: *Phone *Email *Do you have relatives employed by Medical Arts Hospital District? * Yes NoIf yes:Have you worked for Medical Arts Hospital District before? * Yes NoIf yes:Have you been convicted of a felony in the last seven (7) years? * Yes NoAre you eligible for employment? * Yes NoPlease list atleast two (2) previous employers: *Please List Education & Training:Please list any license or certifications/skills or qualifications:Please list up to 3 References:Upload CV/ResumeAllowed Type(s): .pdf, .doc, .docxApplication AgreementIt is understood and agreed upon that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the Employer’s service if I have been employed. Furthermore, I understand that just as I am free to resign at any time, the Employer reserves the right to terminate my employment at any time, with or without prior notice. I understand that no representative of the Employer has the authority to make any assurances to the contrary. If required for the position, I also understand that as a condition of employment I will be subject to the following: driving record check, criminal history investigation, medical examination, and a pre-employment drug-alcohol screening test. An employment offer received from the district is contingent upon information received from any required tests, checks, investigations, or exams. I give the Employer the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability the Employer and its representatives for seeking such information and all other persons, corporations, or organizations for furnishing such information. The Employer is an Equal Opportunity Employer. The Employer does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant’s consideration for employment on a basis prohibited by local, state, or federal law. This application is valid for sixty (60) days. At the conclusion of that time, if I have not heard from the Employer and still wish to be considered for employment, it will be necessary to fill out a new application. NEW HIRES: After a prospective employee applicant has had their criminal back ground check completed, that individual will have an appointment made with Employee Health for screening. Screening includes health history, immunizations, physical exam, drug screening and safe back lifting screening. The employee then is educated on policy and procedures. Each person needs to bring in any prescriptions with them to the appointment. Once Employee Health screening completed then the employee meets with Human Resources to complete the hiring process. Employee Health Department administers any needed immunizations, annual PPD testing and N-95 fitting with the Cardiopulmonary Department. Also, all return to works, injury reports and reports of illness are processed through this department. Back to listings