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Your Application

** Para revisar nuestra aplicación de empleo en español, por favor presione aqui. Por favor tome en cuenta que aunque la aplicación aparece en español usted necesitará entrar su información en nuestro sistema en inglés.

For applicants who are unable to identify a specific position for which they are qualified for consideration, you have the option to create a Personal Profile. The Profile can be viewed by the facility's Human Resources department. In this Profile, you will be asked to provide information regarding your knowledge, skills, qualifications, and work experience. This information may be used to consider you for positions that you have shown an interest in or for any potential future position(s) that you may wish to be considered. Your Profile will be maintained for up to one year or pursuant to Federal, State, or Local law.

Your interest in employment must be received through our facility's website. After bidding for the position on-line, you may receive an e-mail confirmation that your resume has been received. If you are considered for a position, you will be notified directly. Thank you for your interest in our facility

If you already have your resume in a MS Word, WordPerfect, etc., you can upload it to save time. By uploading, the system will be able to extract certain information and populate the Resume Profile form. After doing so, you will have the opportunity to add or modify any of the information in the form.

Applications are considered for all positions without regard to race, color, religion, sex, national orgin, age, marital status, sexual orientation, veteran status, disability, or any other characteristic protected by applicable federal, state, or local law.

If you don't wish to upload your resume, please complete the Resume Profile below. The fields in red are required.

Create a Username & Password
TIP: Using your email address as your username will make it easier to remember.
Re-enter Password:

Applications are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, sexual orientation, veteran status, disability, genetic information, or any other characteristic protected by applicable federal, state or local law.
Date of Application:
Position(s) Applied for:

Referral Source

How did you hear about us?
Sub Referral Source: 

General Information
First Name: 
Middle Initial:
Last Name:
Suffix (if any):
Zip Code:
Country: (2-letter official abbreviation)
Address 2:
Email Address:  
Home Phone:  
Secondary Phone:
Social Security Number: (XXXXXXXXX format)
Other Names Under Which You Have Worked:

Employment Information
What kind of job are you looking for? 
(Check all that apply)
Full Time
Part Time
Per Diem
(Check all that apply)
Are you on a lay-off and subject to recall? 
 Yes   No 
Minimum Salary Requirements:
(numeric characters only)
% of Travel:
Are you willing to relocate?
Yes No Maybe
Select possible relocation options: 
(Check all that apply)
Additional relocation comments:
When would you be available to start?

Education & Work Authorization
Professional License Number: Expiration Date:
Type Of License:  
Comments: Professional License Number:
Expiration Date: Type Of License:
Level of Education:
  High School College/University Graduate/Professional
School Name
(use comma to separate city and state)
Years Completed:  9   10   11   12   1   2   3   4   1   2   3   4 
Diploma / Degree
Describe Course Of Study
Honors & Awards:
Have you ever interviewed with UHS or a UHS facility in the past? 
 Yes   No 
If Yes, give date:
Can you furnish a work permit if you are under 18? 
Yes No N/A
Do you have any relatives currently employed here?   Yes   No 
Are you employed now?   Yes   No  May we contact your present employer?   Yes   No 
Have you ever been convicted, or pled guilty, including a plea of no contest, to a criminal offense? 
 Yes   No 
If so, Please explain:
(Please note that a conviction does not necessarily disqualify an applicant from employment. Also, "conviction" includes sentenced to confinement, payment of fines, time served, probation, deferred adjudication, and/or court-ordered restitution.)
Are you prevented from becoming lawfully employed in this country?
(Authorization to work required prior to employment)
 Yes   No 
Work Authorization:
I am authorized to work in the U.S. for any employer.
I am authorized to work in the U.S. for my present employer only.
I require sponsorship to work in the U.S.
Do you now, or will you in the future, need sponsorship from an employer in order to obtain, extend or renew your authorization to work in the United States?
Have you ever been employed here or at another UHS facility?
Yes No
If yes, when, where?
Are you now (or have you ever been) excluded from participation in federally funded programs (e.g., Medicare, Medicaid, etc.) by having your name listed on the Office of Inspector General's (OIG) List of Excluded Individuals and Entities (LEIE) or by having your name listed on the General Services Agency (GSA) Excluded Parties List?
Yes No
Have you ever had your professional license suspended or revoked?
Yes No N/A
Are you a Nursing Applicant?   Yes   No 
Describe specialized training, apprenticeship, skills with number of years experience. Also, describe extra-curricular activities (optional):

Use 3-5 words that best describes your professional experience (i.e. "Sr. Network Administrator " or "Experienced HR Analyst" or "Seasoned Project Manager"). 
State any additional information you feel may be helpful to us in considering your application:
The primary language requirement for most positions is English. (Optional) Indicate any other languages you speak, read, or write. :
  Fluent Good Fair
List Professional, trade, business, or civic activities and offices held. (You may exclude those which indicate race, color, religion, sex, national origin, ate marital status, sexual orientation, veteran status, or disability);
Professional References     (You may add additional references by selecting the "Add" option in the Next Reference column)
Name Relationship Name of organization where
individual knew your work performance
Address Telephone
Name Relationship Name of organization where
individual knew your work performance
Address Telephone Next Reference

Employment Experience

Please complete the following, even if you are attaching a resume.
Start with your present or last job. Include military service assignments and volunteer activities.

You may add additional employer sections by selecting the "Add" option
at the bottom of the each employment section.

Telephone Number:
Job Title:
Reason for Leaving:
Dates Employed: From: To:
If still employed, enter today's date or Present
Base Hourly Rate/Salary: Starting: Final:
Volunteer Activity: Yes No
Work Performed:
Add/Delete Next Employer Section


To be considered for this position you must either create a resume in the section below or enter your complete work history in the section above. You can cut and paste your resume from another source, or simply type in the space below. The resume field is text only. For best results, do not use symbols, bullets, bolding etc. We consider the skills and experience described vs. the resume format.

Applicant's Certification and Agreement

In consideration of being employed, I understand and agree that:
  1. If I misrepresent or deliberately leave out a fact in my application, I may be refused employment or, if employed, my employment may be terminated.
  2. The Company has my authorization to thoroughly investigate my work and personal and credit history if applicable to my position and I hereby consent to take any test, whenever the Company deems it necessary including an employer investigation. I will hold no person, corporation or organization liable for my giving or its receiving information in such an investigation.
  3. If I am extended an offer of employment, any doctor, hospital or testing laboratory has my consent to conduct medical or drug tests on me, and I hereby give my consent to having all information released for the Company to determine my abilities to perform job duties now or in the future. I acknowledge that I do not use or abuse illegal substances. I also give my consent to physical searches of myself and my brief case, purse, lunch box, car, locker or any packages I have while on the Company.s premises, whether or not I have a lock on such items.
  4. If employed, I may terminate my employment at any time without notice or cause, and the Company may terminate or modify the employment relationship at any time without prior notice or cause. In consideration of my employment, I agree to conform to the rules and regulations of the Company, and I understand that no department head or representative of the Company, other than the President of the Company, has any authority to enter into any agreement, oral or written, for employment for any specified period of time or to make any agreement or assurances contrary to this policy.
  5. If employed, I understand that I must abide by the Company policies, including the Service Excellence standards and realize that service excellence is a priority of this Company.
  6. The needs of the Company may make the following conditions mandatory: overtime, shift work, rotating work schedule, or a work location other than the location offered to you at the time of your hire. I accept these conditions of employment.
  7. The Company is an equal opportunity employer. The Company does not discriminate in employment and no question on my employment application is used for the purpose of limiting or excluding any applicant.s consideration for employment on a basis prohibited by local, state or federal law.
  8. If employed, I understand that my employment is for no definite period of time, and if terminated, the Company is liable only for wages or salary earned as of the date of termination.
  9. I have read and agree to the above and hereby certify that the facts I have provided in my employment application are true and complete.
  10. This application is current and active for only 1 year. At the conclusion of this time, if I have not had any contact from the Company and still wish to be considered for employment, it will be necessary for me to fill out a new application.
  11. I understand that the Company requires all staff to report sanctions, convictions, suspensions, censures or revocation (.sanction.) action taken against them by federal, state, local, or other professional entities. These sanctions may include but are not limited to infractions against professional licensure, criminal history convictions, history of child abuse, managed care organizations, etc.
  12. Employees and visitors often receive specific information concerning residents (i.e., residents includes but is not limited to: patients, students, etc.) and their illness. This information is strictly
    confidential and should never be discussed with other residents, visitors, fellow employees, family or friends. All employees and visitors must fully understand that any information they receive concerning residents and/or activities is confidential information.
  13. READ CAREFULLY BEFORE SIGNING. I agree that any claim or lawsuit relating to my service with the Company or any of its subsidiaries must be filed no more than six (6) months after the date of the employment action that is the subject of the claim or lawsuit. I waive any statute of limitations to the contrary.
  14. I will settle any and all claims, disputes or controversies arising out of or related to my application or candidacy for employment, employment and/or cessation of employment, exclusively by final and binding arbitration before a neutral arbitrator or panel of arbitrators. Such claims include but are not limited to claims under federal, state and local statutory or common law, such as the Age Discrimination in Employment Act, Title VII of the Civil Rights Act of 1964, and 1991 as amended, the Americans with Disabilities Act, the Fair Labor Standards Act, Genetic Information Non Discrimination Act, any other anti-discrimination, wage or benefit laws, or under the law of contract or tort, unless specifically prohibited by law. I understand that I will not have the right in court or in an arbitration proceeding to participate in a class action, either as a class representative or class member, act as a private attorney general or join or consolidate claims with claims of any other person. The initiation and conduct of any arbitration shall be in accordance with the then-in-effect National Rules for the Resolution of Employment Disputes of the American Arbitration Association (“AAA”). Should the AAA refuse to or be unable to offer its services, another arbitration service provider shall be appointed.
I have read and agree to the above and hereby certify that the facts I have provided in my employment application are true and complete.
Date:  Signature of Applicant:

Press the "Save as Draft" button to save the existing information to complete at a later time. When you save your application as draft, you will not be able to apply for jobs, the recruiter will not be able to view your profile, or consider you for an offer.