Application for employment

General information
Education and skills
Check all that apply
High school
Community college
College or university
Technical school
Employment history
Please fill out for the last 5 years of your employment history
Job 1
Job 2
Job 3
Job 4
Professional licenses, registration and/or certifications
Personal references
Reference 1
Reference 2
Reference 3
Files must be less than 2 MB.
Allowed file types: pdf doc docx.

NOTICE

Federal and State laws prohibit discrimination in employment because of race, color, creed , age, sex, marital status, national origin, physical disabilities or mental condition. 

DISCLOSURE OF HEALTH INFORMATION 

You are not required to disclose information about .physical or mental limitations that you believe will not interfere with your capability to do the job(s) for which you are applying. On the other hand, if you want McPherson Hospital, Inc. to consider special arrangements to accommodate a physical or mental impairment, you may identify that impairment on an attached sheet and suggest the kind of accommodation that you believe would be appropriate. Additionally, if McPherson Hospital is aware of your condition and you are injured on the job and the injury aggravates your handicap, McPherson Hospital may be able to obtain certain protection under the worker's compensations laws. 

ACCOMMODATION 

Any applicant may request assistance with the employment process including completion of this application form and/or the interview process. Please notify McPherson Hospital's main reception counter, the department director to whom you may be applying or the Vice President of Human Resources. 

Your initial application may be submitted by mail directly to:

HUMAN RESOURCES
McPHERSON HOSPITAL, INC.
1000 HOSPITAL DRIVE
MCPHERSON, KS 67460-2326
(620) 241-2250

I hereby declare that all the foregoing information is true and factual and authorize investigation, including reference checking by McPherson Hospital, Inc. (Hospital). I further understand and agree that any misrepresentation of the information I have furnished may be cause for dismissal. I also understand that Hospital has an employee Pension Plan in which participation is required if I become eligible as an employee. The undersigned acknowledges and agrees that Hospital may conduct a criminal background check as a condition of obtaining or maintaining employment. Undersigned agrees to hold harmless Hospital, its employees, agents and assigns from and against any and all causes of action, claims, demands, suits or other proceedings of any nature which seek damages or other relief arising from or related to obtaining a criminal history. Individuals hired by McPherson Hospital are required to complete a physical examination, which includes a drug screen test for illegal substances. This physical is scheduled only after an employment offer is made. Any offer of employment is specifically conditioned upon negative results for any illegal substances.