Personal Information
First Name *Last Name *Address *City *Zip *Phone Number *Email Address *Current Professional Licensure or Certification Number (if applicable) Have you ever applied for a job with Maury Regional Health, including Maury Regional Medical Center, Maury Regional Medical Group, Marshall Medical Center or Wayne Medical Center? *If YES, please indicate when you applied and for what position. Have you ever worked for Maury Regional Health? *If YES, please provide where you worked, which position you held and when you were employed. Work Preferences
Position Type *Areas / Departments of Interest (select all that apply)
Preferred Facilities (select all that apply)
Preferred Shifts (select all that apply)
Education
High School / GED
School Name Degree / Diploma Date of Completion College / University
School Name Degree / Diploma Date of Completion Graduate / Professional
School Name Degree / Diploma Date of Completion Technical / Vocational
School Name Degree / Diploma Date of Completion Employment
In the fields below, list your current / most recent work experience. Please include all other relevant work experience in your resume. Current / Most Recent Employer *Location (city, state and zip) *Job Title *Start Date End Date Documents
Upload a copy of your resume. *Upload a copy of your cover letter. (optional) Additional Questions
Are you 18 years of age or older? If no, employment is subject to documentation that you are of minimum legal age. *Are you legally eligible to work in the United States? Document of employment eligibility will be required of all employees. *Have you ever been convicted of a crime except a minor traffic violation? *If YES, provide the offense, date, court and place when it occurred. A criminal conviction will not automatically disqualify an applicant based solely on the fact of a conviction. An individualized assessment will be conducted with respect to all convictions. A criminal background check will also be performed. The failure to disclose convictions on this application will be considered falsification of the application. Are there any matters currently pending against you which could result in the conviction of a crime other than a minor traffic violation? *If YES, please explain. Agree & Certify
I certify that the information in this application is true and complete in all respects, and that if any information is found to be false or incomplete in any way, it shall be considered sufficient cause for denial of employment or discharge if discovered after being hired. I authorize the use of any information in this application to verify my statements, and I authorize all employers, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, and previous employment record. I release all such persons from any liability or damages on account of having furnished such information.
I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between Maury Regional Medical Center or any Affiliates (“Maury Regional Health”) and myself for either employment or for the providing of any benefit. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon Maury Regional Health, unless made in writing. If an employment relationship is established, I understand that all employment is on an at-will basis, meaning I have the right to terminate my employment at any time with or without cause, and that Maury Regional Health retains the same right.
If extended a conditional offer of employment, I agree to submit to a drug / alcohol screen and pre-placement medical examination, and I understand my becoming employed will be conditional upon a negative drug / alcohol screen result and the results of the medical examination to verify my ability to perform the essential functions of the job.
I understand that if employed, policies and rules which are issued are not a contract, but do constitute conditions of my continued employment, and that Maury Regional Health may revise policies or procedures, in whole or in part, at any time.
I understand that Maury Regional Health campuses are Tobacco-free and all Tobacco use will be prohibited.
I understand that this application will be considered active for 90 days from the date submitted, or until the position I am seeking is filled, whichever occurs first. After that time, if I wish to continue to be considered for employment, I must contact HR in writing to reactivate this application or to complete a new application. *