For questions or concerns,
please email Colleen Walker at
cwalker@wisehealthsystem.com

Create an Account with Wise Health System

Creating an account allows you to login and update your personal information and check which jobs you've applied to.

E-Mail:
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Password:
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Must be at least 5 characters

Retype Password:
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* - indicates a required field

PERSONAL DETAILS:


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Cell
Home
Work
The primary phone number we should you use to contact you.

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If not a U.S. Citizen, do you have a work permit?

 
If you answered Yes above, please include the expiration date of your work permit.

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Excluding minor traffic violations, have you every been convicted of a felony?

 
If you answered Yes above, please explain the circumstances and outcome.

JOB PREFERENCES:


 
The date you can begin work.

 

 
Full Time
Part Time
PRN
Please check all employment types you desire.

 
Day
Evening
Night
Please check all shift types you would be available to work.

 
Would you be available to work weekends and/or holidays?

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If you answered Yes above, please give names and dates of the department or office you worked under.

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If you answered Yes above, please provide relative names and relationships.

EDUCATION:


 
College or University
High School / GED
Military Service
Nursing School
Other Training or Graduate School
Vocational / Trade School

 

 

 

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Air Force
Army
Coast Guard
Marines
Navy

PROFESSIONAL LICENSES / CERTIFICATIONS:


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Field is required. Enter "N/A" for Not Applicable.

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Field is required. Enter "N/A" for Not Applicable.

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Field is required. Enter "N/A" for Not Applicable.

 

 

 

 

 

 

 

 
Please include information for any additional licenses you wish to include.

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If you answered Yes above, please explain the circumstances, and outcome if applicable.

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If you answered Yes above, please explain the circumstances, and outcome if applicable.

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If you answered Yes above, please explain the circumstances, and outcome if applicable.

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If you answered Yes above, please explain the circumstances, and outcome if applicable.

SKILLS:


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Do you have any experience using computers?

 
10-Key
AS400
Dictaphone
Medical Terminology
Microsoft Excel
Microsoft Outlook
Microsoft PowerPoint
Microsoft Word
PBX
Please check all that apply in which you are proficient.

 

 

WORK EXPERIENCE - CURRENT OR MOST RECENT EMPLOYER:

Please list your prior work experience, starting with your current or most recent employer. RESUMES WILL NOT BE ACCEPTED AS DOCUMENTATION OF PRIOR WORK EXPERIENCE.

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Field is required. Enter "N/A" if no work experience exists.

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Field is required. Enter "N/A" if no work experience exists.

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Please enter the city, state, and zip code. Enter "N/A" if no work experience exists.

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Field is required. Enter "N/A" if no work experience exists.

 
Leave empty if this is your current employer.

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Field is required. Enter "N/A" if no work experience exists.

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Field is required. Enter "N/A" if no work experience exists.

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Field is required. Enter "N/A" if no work experience exists.

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Field is required. Enter "N/A" if no work experience exists.

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Field is required. Enter "N/A" if no work experience exists.

WORK EXPERIENCE - EMPLOYER #2:


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Field is required. Enter "N/A" if no work experience exists for a second employer.

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Field is required. Enter "N/A" if no work experience exists.

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Please enter the city, state, and zip code. Enter "N/A" if no work experience exists.

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Field is required. Enter "N/A" if no work experience exists.

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Field is required. Enter "N/A" if no work experience exists.

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Field is required. Enter "N/A" if no work experience exists.

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Field is required. Enter "N/A" if no work experience exists.

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Field is required. Enter "N/A" if no work experience exists.

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Field is required. Enter "N/A" if no work experience exists.

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Field is required. Enter "N/A" if no work experience exists.

WORK EXPERIENCE - EMPLOYER #3:


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Field is required. Enter "N/A" if no work experience exists for a third employer.

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Field is required. Enter "N/A" if no work experience exists.

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Please enter the city, state, and zip code. Enter "N/A" if no work experience exists.

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Field is required. Enter "N/A" if no work experience exists.

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Field is required. Enter "N/A" if no work experience exists.

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Field is required. Enter "N/A" if no work experience exists.

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Field is required. Enter "N/A" if no work experience exists.

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Field is required. Enter "N/A" if no work experience exists.

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Field is required. Enter "N/A" if no work experience exists.

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Field is required. Enter "N/A" if no work experience exists.

Referral:


 
How did you here about the position?

 
Please enter the name of any website, newspaper, or person that referred you to this job opening.

YOUR RESUME:


 
Must be in Word or Adobe format only-others will not be accepted

APPLICANT'S ACKNOWLEDGEMENT:

APPLICATIONS ARE ACTIVE FOR 90 DAYS. THIS IS A JOB INFORMATION FORM, NOT AN EMPLOYEE CONTRACT. PRIOR TO EMPLOYMENT AT WISE HEALTH SYSTEM AN APPLICANT MUST AGREE TO TAKE AND PASS A DRUG SCREEN. WISE HEALTH SYSTEM is an equal opportunity employer. Federal law prohibits discrimination in employment practices because of race, color, religion, sex, age, national origin or handicapped status. No question on this application is asked for the purpose of limiting or excluding any applicant’s consideration for employment because of his or her race, color, religion, sex, age, national origin or handicapped status.

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By checking the box above, I certify that the statements made on this application are true to the best of my knowledge and belief and hereby grant WISE HEALTH SYSTEM (WHS) permission to verify such answers.

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By checking the box above, I understand that any false statement on this application and/or resume may be considered as sufficient cause in my application being rejected or my employment terminated.

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By checking the box above, I understand that WHS will perform a pre-employment investigation, including but not limited to a reference and criminal background check, to determine my suitability for employment and I authorize WHS to have access to any records concerning my education, employment and criminal background.

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By checking the box above, I understand that WHS will not inform me of the details of any references received from previous employers.

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By checking the box above, I agree to submit to a physical exam including a drug screening if I am given a conditional job offer and understand that if I fail to pass, or refuse the testing, I may not be hired by WHS. I understand that refusal of such, when requested could result in termination of employment.

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By checking the box above, I understand that if employed, the terms and conditions of my employment, including duties, hours, working area and days of work may be changed from time to time without notice by the hospital as it deems necessary.

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By checking the box above, I understand that this application does not constitute an employment contract of any kind.

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The applicant understands and acknowledges that Wise Health System will verify the information provided by applicant and applicant’s background both internally and through external contractors.

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I have read, understand, and agree to the above.

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