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Certified Medical Assistant in Murray Orthopedics - Full-time
Murray
,
Kentucky
,
United States
| MCCH
| Full-time
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Application Form
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First Name *
Middle Name
Last Name *
Address *
Email *
Phone *
Resume (preferred)
Have you been previously employed by Murray Calloway County Hospital or Spring Creek Healthcare? *
Yes
No
If yes, please provide what department and reason for leaving.
Names & Relationships of relatives or friends at MCCH
Do you wish to work: *
Full Time
Part Time
PRN (as needed)
What days are you available to work? *
SUN
MON
TUES
WED
THURS
FRI
SAT
What hours are you available to work? *
1st Shift
2nd Shift
3rd Shift
What is the earliest date you would be available to work? *
Highest Level of Education *
--Select--
High School/ GED
Some College
Associate Degree
Bachelor`s Degree
Master`s Degree
Doctoral Degree
What school/university did you obtain your degree? *
Major
Do you have a current professional license active in the state of Kentucky?
--Select--
Yes
No
If yes, please list the type of license, license #, and expiration date.
Please list any active certifications you hold and their expiration date.
Previous Employer *
Employer`s Phone Number *
Name of Supervisor *
Start Date *
End Date
Pay Rate *
Job Responsibilities *
Reason for Leaving *
(2) Previous Employer
(2) Employer`s Phone Number
(2) Name of Supervisor
(2) Start Date
(2) End Date
(2) Job Responsibilities
(2) Reason for Leaving
Are you eligible to work in the United States? *
Yes
Have you ever been known by any other name(s) which MCCH will require to verify any other information that the information in this application? *
--Select--
Yes
No
If yes, give previous name:
Thank you for completing your application for employment. As part of the application process, you should complete MCCH's work assessment survey. Click this link to access the survey:
https://hsa.healthcaresource.com/survey/rlogin.php?token=b8c2585d61accc798044b435811719ef
. Once the survey is complete, your application will be processed. *
Survey has been completed.
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