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785-731-2231

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210 S. Vermont, Ransom, Kansas 67572

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Employment Application

 

Grisell Memorial HospitalGrisell Memorial Hospital

210 S Vermont Ave
Ransom, Kansas 67572
785-731-2231

APPLICANT INFORMATION

EDUCATION

REFERENCES

Please list three Professional References:

PREVIOUS EMPLOYMENT

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GMH does not discriminate in hiring or any other decision on the basis of race, color, religion, creed, sex, marital status, national origin, age or on the basis of physical or mental disability.
I consent to take the physical examination, including a drug screen, and such future physical examinations as may be required by this institution at such times and places as the institution shall designate. I understand that an offer of employment may be contingent on passing the physical examination which relates to the essential duties I would be required to perform.
I understand that my employment is at will, and that either party is free to terminate the employment relationship at any time without cause. I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. If employed, I will be required to complete an Employment Verification Form (I-9), and within three days show satisfactory evidence of identity and eligibility for employment.