Application for Employment

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To submit your application please complete the form below. Fields marked with a red asterisk * are required. When you have finished click Submit at the bottom of this form.

If you have a disability and require assistance in completing this application, please call 814-443-5070.


Save time by using your Resume, LinkedIn Profile or Universal Profile to fill in many of the fields of this application form. Select from the options below:
Upload resume Upload resume LinkedIn Profile LinkedIn Profile

Email Registration

Your email address will be used as your login name allowing you to return to our website update your profile.
Please create your password Passwords must be at least six(6) characters



Resume Attachment

Your resume can be uploaded in any of the following formats: DOC, DOCX, RTF, PDF, TXT, HTML.
Cover Letter You can use the text area for a cover letter and any supplementary information you would like to provide about your career goals, availability, best times to contact you, etc.

Personal Information

 
 
 
 
 

If employment, education, or military records are under a name other than indicated above, please state name used below. 

 

Addtional Information

  Do you currently have any felony or misdemeanor charges pending against you?
 
 
  Have you worked for us before?
 
Have you ever been convicted of a felony or misdemeanor?  
 
   

Name of relative employed at Somerset Hospital / Somerset Health Services/Twin Lakes Center

 
Were you in the U.S. Armed Services?  
 

How did you hear about us?

 

Employment History:

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  Responsibilities and Duties
 
   

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  Responsibilities and Duties
 
   

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  Responsibilities and Duties
 
   
+ Add Another Work History    


Certificates/Licenses:

 
 
 
 

List any software packages used and skill level

 
+ Add Another Certificates And Licenses    


Professional References:

 
 
 
 
 
 
 
 
 


Education:


Post-Secondary Education

 
 
 
 
+ Add Another Post-Secondary Education    


Voluntary Equal Opportunity Questionnaire

As an equal opportunity employer, we hire without consideration to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, veteran status or disability. We invite you to complete the optional self-identification fields below used for compliance with government regulations and record-keeping guidelines.

Candidate Acknowledgement

Please read and sign the following:

If accepted for employment, I agree to abide by the rules and policies of the Hospital. If accepted for employment, I understand that my employment can be terminated, with or without cause or notice, at any time, at my option or the option of the Hospital. I understand that no management representative has the authority to enter into any verbal or written agreement for the continuing employment for any specific period of time, other than in writing by the Vice President of Human Resources (or their designee), or the Chief Executive Officer.

I hereby give the Hospital permission to contact all or any of my previous employers, educational institutions or their individuals or organizations named in this application and authorize them to provide all information requested of them by the Hospital. I authorize the Hospital to obtain, use and rely upon that information in relation to my application. In exchange for the Hospital’s agreement to receive, process and consider my application for employment, I hereby release the Hospital and any and all persons or organizations contacted by the Hospital from any and all claims or causes of action arising out of the Hospital’s verification of my application for employment or its determination of my qualifications and abilities.

I understand that if an offer of employment is made to me, it shall be contingent upon my successful completion of a post offer of employment health screening to the satisfaction of the Hospital, which may include any and all tests and procedures determined by the Hospital to be required to evaluate my suitability for employment including but not limited to: drug screen, functional agility screening. It is further understood that an Influenza Vaccination is a condition of employment for all employees being hired between October 1st and March 20th.

I understand that if an offer of employment is made to me, it will be a conditional offer pending acceptable results and compliance with: Act 34, the Pennsylvania State Police Criminal Background Check which is required for all new employees or if the position for which I was hired requires compliance with Act 153 of the Child Protective Services Law, which requires Pennsylvania Criminal Background Check, Pennsylvania Child Abuse History Check and Federal Bureau of Investigation (fingerprinting clearance) check.

I hereby certify that the information contained in this application or supplementary materials is correct and complete and I understand that falsification or omission of information in this application is grounds for refusal to hire, or if hired, for dismissal.


 
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