Employment Application

Online Application

  • Johnson Memorial Health Services (JMHS) is an equal employment opportunity employer dedicated to a policy of nondiscrimination in employment based upon an individual's race, color, creed, religion, national origin, sex, marital status, status with regard to public assistance, familial status, disability, sexual orientation, age, or other characteristics protected by law. In reading and answering the following questions, please keep in mind that none of the questions are intended to imply any limitations, illegal preferences, or discrimination based upon any non-job-related information. This application will be given consideration, but its receipt does not imply that the applicant will be interviewed or employed. If you need an accommodation to participate in the application process, please contact Human Resources at (320) 312-2113.
  • PERSONAL DATA

  • GENERAL INFORMATION

  • EDUCATIONAL DATA

  • EMPLOYMENT HISTORY - complete even if including a resume

  • REFERENCES - please provide 3 references

  • OTHER JOB RELATED EXPERIENCE

  • Some people gain job-related experience in positions other than as an employee. (Please omit any activities, honors, memberships or other items that tend to identify your race, sex, national origin, age, disability or other personal traits that you prefer not to disclose.)
  • HEALTH SERVICES DATA

  • Applicants and employees during their employment are treated without regard to their race, color, creed, religion, national origin, sex, marital status, status with regard to public assistance, familial status, disability, sexual orientation, age, or any other legally protected status. Johnson Memorial Health Services is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, the employer invites applicants and employees to voluntarily self-identify their race or ethnicity. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual.
  • AGREEMENT - Please read carefully and check each paragraph before submitting.

 

Verification