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Employment Application

Thank you for your interest in employment with Pana Community Hospital!
This is your confirmation that your application has been received. Your application will be carefully reviewed and we will contact you if you are selected for an onsite interview.

 

General Information
Personal
Are you a U.S. citizen or an alien legally authorized to work in the U.S.? *required
Are you 18+ years of age? *required
Have you ever been convicted of, or plead guilty to, a crime other than a misdemeanor traffic violation? *required
Have you ever been involved in the substantiated abuse or neglect of children or adults under the laws of this state or any other state of the United States? *required
Have you ever been sanctioned, cited, reported, or excluded from participation in medicare, medicaid, or any other healthcare related law or regulation?
Would you like to be considered for a comparable position in an alternate department if this posted position has been filled? *required
Were you referred by a PCH Employee? *required
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