Apply Now

Instagram

This field is for validation purposes and should be left unchanged.

General Information

Full Name*

First Middle Last

Current Address*

Street Address City State ZIP Code

Main Phone*

Other Phone

Email Address*

Are you legally entitled to work in the United States?*

Yes

Have you ever worked for RLMC?*

Yes

If yes, when and what was the previous position held?

Did anyone from RLMC refer you?*

Yes

If yes, who?

Do you have any relatives that work for RLMC?*

Yes

If yes, who?

Position

Position applying for*

Salary Desired*

Date available to start work or length of notice needed to give current employer:*

Are you able to perform the essential functions of the job you are applying for, with, or without reasonable accommodations?*

Yes

Will Accept:*

Full-time

Part-time

Casual/Temporary

Previous Employment

Current Employer*

Supervisor

Phone*

Job Title*

From (Mo/Yr) To (Mo/Yr)*

Hours Per Week

Employer Address*

Street Address City State ZIP Code

May we contact this employer?

Yes

Specific Duties

Attach additional documentation if needed using the upload button at the bottom.

Reason for Leaving

Would you like to add a second Employer?*

Yes

Employer 2*

Employer 2 – Supervisor

Employer 2 – Phone*

Employer 2 – Job Title*

Employer 2 – Employed From (Mo/Yr) To (Mo/Yr)*

Employer 2 – Hours Per Week

Employer 2 Address*

Street Address City State ZIP Code

May we contact this employer?

Yes

Employer 2 – Specific Duties

Attach additional documentation if needed using the upload button at the bottom.

Employer 2 – Reason for Leaving

Would you like to add a third Employer?*

Yes

Employer 3*

Employer 3 – Supervisor

Employer 3 – Phone*

Employer 3 – Job Title*

Employer 3 – Employed From (Mo/Yr) To (Mo/Yr)*

Employer 3 – Hours Per Week

Employer 3 Address*

Street Address City State ZIP Code

Employer 3 – May we contact this employer?

Yes

Employer 3 – Specific Duties

Attach additional documentation if needed using the upload button at the bottom.

Employer 3 – Reason for Leaving

Education

High School Graduate or Passed General Education*

Yes

School/Location

College, Technical, or Business School Name

Location

Years Attended

Degree

Major

Would you like to list a second College, Technical or Business School?*

Yes

School 2 – College, Technical, or Business School Name

School 2 – Location

School 2 – Years Attended

School 2 – Degree

School 2 – Major

Would you like to list a third College, Technical or Business School?*

Yes

School 3 – College, Technical, or Business School Name

School 3 – Location

School 3 – Years Attended

School 3 – Degree

School 3 – Major

Special Skills, Licenses, and Certifications

List skills, licenses, and certifications below

Veteran Information

Branch of Service

Date of Entry

Date of Discharge

Professional References

Must be current or previous employer and consist of manager, supervisor, or Human Resource personnel.

Reference 1 – Company

Reference 1 – Name

Reference 1 – Relationship

Reference 1 – Phone

Reference 1 – Address

Street Address City State ZIP Code

Would you like to enter a second Professional Reference?*

Yes

Reference 2 – Company

Reference 2 – Name

Reference 2 – Relationship

Reference 2 – Phone

Reference 2 – Address

Street Address City State ZIP Code

Would you like to enter a third Professional Reference?*

Yes

Reference 3 – Company

Reference 3 – Name

Reference 3 – Relationship

Reference 3 – Phone

Reference 3 – Address

Street Address City State ZIP Code

EQUAL OPPORTUNITY EMPLOYER

Rainy Lake Medical Center is an equal opportunity employer. It is policy that all individuals are entitled to equal employment opportunity regardless of race, color, religion, gender, national origin, age or disability, as required by state and federal law. All appropriate steps are taken to ensure equal opportunity in employment with respect to all personnel actions, including, but not limited to: recruiting, hiring, compensation, benefits, education and promotion/advancement opportunities

EMPLOYMENT APPLICATION DISCLAIMER AND ACKNOWLEDGEMENT

I certify that the information contained in this application and any supporting document(s) provided is true and complete to the best of my knowledge.

I authorize any of the persons or organizations listed in my application to give all information concerning my previous employment, education, or other information with regard to any of the subjects covered by this application, and release all such parties from all liability that may result from furnishing such information.

I understand that my employment is contingent upon verification of information provided; passing the required reference and background check; and required drug and alcohol testing.

I understand that my employment is contingent upon proof of identity and verification of eligibility for employment in the United States, in accordance with Immigration Reform Act of 1986.

I understand that falsifying information is grounds for refusal to hire, or for discharge should I be hired. I understand that any employment offered to me is terminable at any time, with or without cause and without advance notice.

Upload Resume or Additional Information

Drop files here or

Max. file size: 16 MB, Max. files: 3.

Applicant Signature*

Today's Date*

General Information

Position

Previous Employment

Education

Special Skills, Licenses, and Certifications

Veteran Information

Professional References

EQUAL OPPORTUNITY EMPLOYER

EMPLOYMENT APPLICATION DISCLAIMER AND ACKNOWLEDGEMENT

We're Here For You

Services

Surgery

Resources