Employment Application

Online Application Form

Employment Application

General Information

  • Education

  • Special skills and qualifications:

  • References:

  • Employment Experience

  • I certify that answers given herein are true and complete to the best of my knowledge.
  • I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I further release all parties and persons connected with furnishing such information from all claims, liabilities, and damages for whatever reason, arising out of furnishing such information.
  • This application for employment shall be considered active for a period of time not to exceed 6 months. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at this time. Due to the volume of applications on hand at any given time, it is impossible to contact every applicant when positions open. Therefore, it is the responsibility of applicants to indicate ongoing interest.
  • I understand that Wheatland Memorial Healthcare reserves the right to modify, revoke, suspend, terminate or change policies or procedures in whole or in part at any time. Any verbal statements or promises about job security made by any person employed in this facility, to any other employee or job applicant must be reduced to writing and signed by the Chief Executive Officer of WMH before becoming effective and binding upon either party.
  • In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.
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