Careers

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McGehee Hospital Application for Employment

Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin, or disability. E.O.E

Name
First
Last

Social Security No:

Driver’s License No:

Email

Phone

Business Phone
(If you can be contacted at current job)

Address
Address Line 1
Address Line 2
City
State
Zip Code

Position Details

Position Applying For

Pay Expected

Have you ever applied for employment with us?
Yes
No

Are you legally eligible for employment in the United States?
Yes
No

Are you:

When will you be available to begin work if a position is offered?

Type of Employment Desired :
Full-time
Part-time

School: Highest level of education
College
VoTech
High School
Other

Membership in professional or civic organizations (exclude those, which may disclose your race, color, religion, or national origin):

Please list other special training skills such as languages, equipment operated, typing, special medical courses, etc.

Do any of your friends or relatives work for McGehee Hospital?
Yes
No

If the offer of a position is extended to you, you will be required to pass a drug screen for illegal substances at our expense. Should you fail this drug screen, the offer of employment will be automatically withdrawn.

Employment History

Please give accurate, complete full-time and part-time employment history. Start with the present or most recent employers.

1. Company Name

Address
Address Line 1
Address Line 2
City
State
Zip Code

Phone

Dates Employed
From/To

Name of Supervisor
First
Last

Pay

State job title and describe your work:

2. Company Name

Address
Address Line 1
Address Line 2
City
State
Zip Code

Phone

Dates Employed
From/To

Name of Supervisor
First
Last

Pay

State job title and describe your work:

3. Company Name

Address
Address Line 1
Address Line 2
City
State
Zip Code

Phone

Dates Employed
From/To

Name of Supervisor
First
Last

Pay

State job title and describe your work:

Please indicate those employers you do not wish us to contact and reasons why:

Military Service: Complete this section if you served in the United States Armed Forces.

Branch of service

Period of active duty:
From/To

Rank At Time Of Discharge:

Date of final discharge

Describe your duties and any special training:

The information requested is needed for a legally permissible reason including without limitation: National security consideration, a legitimate occupational qualification of business necessity, the Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex, or national origin. Federal law also prohibits discrimination on the basis of age with respect to certain individuals. Federal law as well as the laws of most states also prohibits some or all of the above types of discrimination as well as some additional types such as discrimination based on ancestry, marital status, or physical or mental handicap or disability.

Height

Weight
In (lbs.)

Gender
Male
Female

Are you allergic to any food or medications?
Yes
No

Have you been treated or tested for latex allergies or sensitivities?
Yes
No

Are you a United States citizen?
Yes
No
Please be able to provide us with proof of your legal right to employment in the country such as birth certificate, naturalization papers, immigration service permit or green card

What was your previous address?
Address Line 1
Address Line 2
City
State
Zip Code

How long were you at your previous address?
From/To

How long have you been at your current address?
From/To

Have you ever been bonded?
Yes
No

Have you ever been convicted of a crime in the past ten years, excluding misdemeanors and summary offenses, which have not been annulled, expunged, or sealed by a court?
Yes
No
Answering "YES" to these questions does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation, and position applied for will be taken into account. *

Cover Letter, Resume, & References

Click or drag files to this area to upload. You can upload up to 3 files.

I hereby declare the information provided by me in this application for employment is true, correct and complete to the best of my knowledge. I understand that, if employed, any misstatement or omission of act on this application shall be considered cause for dismissal. I authorize McGehee Hospital/Southeast Arkansas Home Health to obtain an investigative consumer report containing information through personal interviews with my neighbors, friends, and acquaintances. This report, if obtained, may include information as to my character, general reputation, personal characteristics and mode of living. I understand I have the right to make a written request within a reasonable period to receive additional detailed information about the nature and scope of any such investigation. I am qualified, with reasonable accommodation, to perform the specific and essential tasks of the position as outlined in the job description for this position.

Signature

Clear Signature

Date

Interested in joining the McGehee family? Apply today!

Current positions open for hire:

McGehee Hospital Application for Employment

Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin, or disability. E.O.E

Position Details

If the offer of a position is extended to you, you will be required to pass a drug screen for illegal substances at our expense. Should you fail this drug screen, the offer of employment will be automatically withdrawn.

Employment History

Military Service: Complete this section if you served in the United States Armed Forces.