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Please be sure to fill in all the information to make sure that we have a complete resume. Hudson Hospital & Clinics is an Equal Opportunity Employer.

How to Apply

Applications for paid employment are accepted via our Online Resume below.
Qualifying applicants may receive a request for additional information, such as a resume or curriculum vitae at a later date.
All applicants will receive confirmation of their completed Online Resume via mail within approximately two weeks.

Online Resume

Be sure to complete the entire Online Resume by clicking on "Submit" at the bottom of the page.

What is your relationship to Hudson Hospital & Clinics ?

Previously employed by Hudson Hospital

Not previously employed by Hudson Hospital

Name:

First

Middle

Last

Address 1:

Street Address:		City:
State:		Zip:
Phone:		Cell Phone:

Address 2:

Street Address:		City:
State:		Zip:
Phone:

Email Address

Position Information:

Position Applying For

Other Positions

Hours Desired
(Please check all that apply)

	Full time
	Part time
	On Call
	Any

Shifts Desired
please check all that apply

	Day Shift
	Evenings
	Night
	Any

How did you find out about the positions at Hudson Hospital & Clinics ?
(Choose all that apply.)

Hudson Star-Observer
Other Newspaper
Job Fair
Community Agency
Family Member
Former Patient
Radio
Movie
Direct Mail
Open House
Website

Recruiting Brochure
Friend
Volunteer
Clinical Rotation
Internship
Billboards
Job Posting
Employee Referral
Walk-in
Yellow Pages
Drove by Facility
Other

If you chose Employee Referral:

Employee Name:

if you chose other:

Other:

Work Eligibility

Are you 16 or older? Yes No

Are you legally eligible to work in the United States? Yes No

Have you ever been convicted of a felony or gross misdemeanor? Yes No
(Conviction of a crime is not an automatic bar to employment, We will consider all relevant facts and circumstances surrounding the conviction)

If yes give dates and explanations

Date

Explanation

Are you currently excluded from participation in any Federal health care programs, including Medicare or Medicaid? Yes No

If yes please explain:

Have you ever been disciplined or currently being investigated by a professional or state ethics licensing board?

Yes

If yes, please explain:

Educational Background

High School

Name and address of high school

Course of study

Did you graduate?

Select last year completed

9 10 11 12

Yes
No

College or University

Name and address of College / University

Major course of study

Did you graduate?

Select number of years completed

2 3 4

Yes
No

Graduate School

Name and address of graduate school

Major field of study

Did you graduate?

Select number of years completed

2 3 4

Yes
No

Credentials/Certifications

Please list relevant credentials and certifications below:
(Please include any licenses currently or previously held and the State that issued):

Other Skills


Please indicate experience and skills with computer software programs, keyboard speed (WPM), medical terminology, other office support systems.


Productivity Software: Check all that apply and indicate proficiency level
Word Processing (e.g., MS Word)	Beginner Intermediate Advanced
Spreadsheets (e.g., MS Excel)	Beginner Intermediate Advanced
Databases (e.g., MS Access)	Beginner Intermediate Advanced
Presentation (e.g., MS Powerpoint)	Beginner Intermediate Advanced
Other	Beginner Intermediate Advanced

Employment History

Indicate below all work experience beginning with your current or MOST RECENT position. Include any military experience which may relate to the position for which you are applying.

Employment dates

From (Month/Year)

To (Month/Year)

Your Position Title

Responsibilities

Reason For Leaving

May we contact your present Employer for reference/verification purposes?

Yes No

Salary

Beginning

End

Employer (Company Name):

Full name of Supervisor

Telephone

Street Address

City

State

Zip

	Full Time
	Part Time
	Casual

	Average Hours per week

Employment dates

From (Month/Year)

To (Month/Year)

Your Position Title

Responsibilities

Reason For Leaving

Salary

Beginning

End

Employer (Company Name):

Full name of Supervisor

Telephone

Street Address

City

State

Zip

	Full Time
	Part Time
	Casual

	Average Hours per week

Employment dates

From (Month/Year)

To (Month/Year)

Your Position Title

Responsibilities

Reason For Leaving

Salary

Begnning

End

Employer (Company Name):

Full name of Supervisor

Telephone

Street Address

City

State

Zip

	Full Time
	Part Time
	Casual

	Average Hours per week

Professional References


Name and Title	Best time to contact	Telephone	years known

I authorize the investigation of my background including all information contained in this application and information provided in the interview. I understand that misrepresenting or omission of information in connection with my application and interview will be sufficient cause, in and of itself, for rejection or dismissal whenever discovered.

I understand and agree that any offer of employment is contingent upon satisfactory completion of Hudson Hospital & Clinics' pre-employment investigation which includes but is not limited to a health assessment, criminal history check, educational and work verification, reference checks, consumer report and any investigation required by local, state or federal laws.

I understand that if I am hired by Hudson Hospital & Clinics, my employment will be for an indefinite period of time and will be "at will", which means that either Hudson Hospital & Clinics or I may terminate the employment relationship at any time and for any reason or no reason. I further understand that, if hired, my at-will employment status may only be changed in a written contract signed by the President of Hudson Hospital & Clinics, and that no representative of Hudson Hospital & Clinics has the authority to make any oral promise to me concerning my employment. Finally, I also understand that Hudson Hospital & Clinics may adopt, from time to time, policies or handbooks dealing with benefits and other terms or conditions of employment. These policies or handbooks do not constitute a contract of employment between me and Hudson Hospital & Clinics. Hudson Hospital & Clinics reserves the right to change or discontinue these policies and/or handbooks at any time, with or without notice to me.

By pressing the 'continue' button below, you agree to the statement above.

To submit your application, be sure to click the Submit Application Now button located at the bottom of the next page.


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