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Greene County General Hospital L.L.C./Greene County Home Healthcare Agency Application for Employment

Page One

Thank you for your interest in Greene County General Hospital. Greene County General Hospital, Greene County General Hospital L.L.C and Greene County Home Healthcare Agency L.L.C are equal opportunity employers and do not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, gender, marital status, national origin, disability, or veteran status. If you have a disability and are unable to complete this application, please contact the Director of Human Resources at Robin.Rose@mygcgh.org or call 812-847-5224.
1. Personal
Type Of Employment You Are Interested In: *This question is required.
Are you available to work any shift? *This question is required.
Can you work overtime, including weekends and holidays? *This question is required.
Are you over 18 years of age? *This question is required.
If you are under 18 years of age, can you furnish a work permit?
Are you a current/previous Greene County General Hospital, Greene County General Hospital L.L.C, or Greene County Home Healthcare Agency, L.L.C employee? *This question is required.
Are you legally eligible for employment in the United States? (Proof of U.S. citizenship or immigration status will be required upon employment.) *This question is required.
Have you ever been excluded from any program funded by Medicare? *This question is required.
Have you ever been convicted of or pleaded guilty or no contest to a felony, misdemeanor or any offense other than a minor traffic violation? (You do not have to disclose prior convictions that have been sealed or expunged from your record.) *This question is required.
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