Careers Interested in joining the McGehee family? Apply today! Current positions open for hire: Night Shift Registered Nurse - McGehee Hospital Physical Therapist - McGehee Hospital Security Guard - McGehee Hospital Maintenance Staff - McGehee Hospital Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.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 *FirstLastSocial Security No: *Driver’s License No: *EmailPhone *Business Phone(If you can be contacted at current job)Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePosition DetailsPosition Applying For *Night Shift Registered Nurse - McGehee HospitalPhysical Therapist Full-Time - McGehee HospitalSecurity Guard- McGehee HospitalOtherPlease specify what position you would like to apply forPay Expected *Have you ever applied for employment with us? *YesNoAre you legally eligible for employment in the United States? *YesNoAre you: *Under 18 yrs of ageBetween 18-70 yrs of ageOver 70 years of ageWhen will you be available to begin work if a position is offered? *Type of Employment Desired : *Full-timePart-timeSchool: Highest level of education *CollegeVoTechHigh SchoolOtherName And LocationCourseDegreeYear GraduatedMembership 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? *YesNoName and relationship if answered yesIf 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 Should you fail this drug screen, the offer of employment will be automatically withdrawn.Employment HistoryPlease give accurate, complete full-time and part-time employment history. Start with the present or most recent employers.1. Company NameAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneDates EmployedFrom/ToName of SupervisorFirstLastPayState job title and describe your work:2. Company Name AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneDates EmployedFrom/ToName of SupervisorFirstLastPayState job title and describe your work:3. Company NameAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneDates EmployedFrom/ToName of SupervisorFirstLastPayState 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 servicePeriod of active duty:From/ToRank At Time Of Discharge:Date of final dischargeDescribe 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 *MaleFemaleMarital Status *SingleSeparatedEngagedDivorcedMarriedWidowedAre you allergic to any food or medications? *YesNoIf yes, what?Have you been treated or tested for latex allergies or sensitivities? *YesNoIf yes, explain:Are you a United States citizen? *YesNoPlease 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 cardWhat was your previous address? *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHow long were you at your previous address? *From/ToHow long have you been at your current address? *From/To Have you ever been bonded? *YesNoIf yes, with which employer?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? *YesNoAnswering "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. * If yes, please describe in full: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 Submit
