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Thank you for your interest in career opportunities at West Shore Medical Center.

To apply for a position, please complete our online application. Be sure to attach your resume and cover letter when prompted.

Upon submission of the online application, you will be asked to take a pre-employment survey administered through Munson Healthcare. All applicants must complete this survey in order to be considered for employment at West Shore Medical Center.

An application will be considered complete when we have all of the following: (1) your complete online application, (2) your resume and a cover letter, if available (you will be prompted to upload these documents in Word or PDF format), (3) a completed pre-employment survey (you will be directed to the survey after you have completed our application), and (4) two references completed by your current and/or most recent employer(s) (download the reference form here).

You may tab or move your mouse cursor to advance to the next field.

Personal Information


Title:
First Name*:
Middle Initial:
Last Name*:
Preferred Name:
Address*:
Address 2:
City/Province*:
State/Province*:
Zip*:
County:
Country:
Phone Number 1*:
Phone Number 2:
Email Address*:
Last 4 digits of Social Security
Number*:
Confirm Social Security
Number*:

Education


ADD ANOTHER EDUCATION SECTION
Please complete ALL appropriate education sections
(click on the button to add the proper education section)


List scholastic honors, specialized training, and apprenticeships
that may be helpful in considering your application:

Licenses/Certification

License(s) applied for (state/country):

Work History

  To accurately and fairly determine your rate of pay, completion of all previous work experience is required in this section. Be sure to list all previous experience, even for positions other than what you are applying. Start with the most recent employment (including military service, if applicable). Please account for any period of unemployment between employers. RN/LPNs, please indicate your area(s) of specialty.

All areas must be fully completed.
 
Are you currently employed?*

Military Service


Were/Are you a member
of the U.S. Armed Forces?*:
Branch of Service:
Period of active duty:
Highest rank held:
Type of
Separation/Discharge:

Additional Information


Position Applying For*:

How did you find out about this position?*:

Please enter referring employee name:

Date available to begin employment*:

Type of employment desired?*:
(please check all that apply)





Number of hours you will work per week?*:

Days you will work?*:
(please check all that apply)




Shift/Hours you will work*:
(please check all that apply)




Many positions require weekends and
holidays. Will you work?*



Wage/Salary requirements?:

If you are an RN how many years of experience do you have?:

Are you a current nursing student?:

If yes, expected graduation date:

Why are you interested in employment with West Shore Medical Center?*:


Please answer all of the following questions.
* Have you ever worked for West Shore Medical Center before?
If Yes, Eligible for re-hire?
When (dates employed)?
Your name then (if different from above)?

* Are you lawfully entitled to be employed in the United States?

* Do you have a valid driver's license?

* West Shore Medical Center is a smoke free employer. Will you be able to comply with this policy?

* Have you ever been convicted of, or plead guilty or nolo contendre (no contest) to any criminal offense (misdemeanor or felony)? Convictions may include, but are not limited to any alcohol driving offenses, retail fraud, any and all convictions other than a minor traffic offense.
If yes, please explain fully.

(West Shore Medical Center conducts criminal record checks. Falsification of this or any other information on this application is grounds for immediate termination. A conviction does not necessarily disqualify you from employment).

* Are there any felony charges pending against you?
If yes, please explain.


* Have you ever been involved in substantiated abuse or neglect of children or adults?
If yes, please explain.


* After you have read this job description for the position desired, are you able to perform the essential functions of that position with or without accommodations?


Resume


Upload a resume with cover letter in PDF or DOC format

Read and Sign


In submitting this application I agree to the following:

1.  I understand and acknowledge that, if I am offered employment, a medical examination , a drug screen, and a criminal background check is required and the offer of employment is conditional upon their satisfactory outcome. I also understand that during my employment I may be required to submit to periodic medical and/or drug tests.

2.  To permit West Shore Medical Center to obtain any information from previous employers, to conduct a criminal background check, and to obtain my driving record without liability arising from obtaining this information.

3.  That misrepresentation by me in this application, or other required forms, is sufficient cause for immediate dismissal.

If employed, I agree to observe all organization rules, regulations, safety practices and to perform my job in a safe manner.


My typed name below shall have the same force and effect as my written signature.


Candidate's/Applicant's Signature*:
Date: May 20, 2013

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  West Shore Medical Center   •   1465 East Parkdale Avenue   •   Manistee, Michigan 49660   •   (231) 398-1000
Copyright © 2013