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Notice to Applicants

Thank you for your interest in employment with Willow Crest Hospital/Moccasin Bend Ranch.  The purpose of this notice is to advise you that we reserve the right to research criminal records and motor vehicle records of all applicants.  In addition, we reserve the right to reject an applicant based on information obtained from such research.


Please be advised that you will be asked to provide information relating to the research and to sign an authorization permitting us access to your records.  In the event that you wish not to provide requested information, your name may be withdrawn from further consideration for employment with our organization.


Thank you in advance for your cooperation.

Requirements for Employment

  1. Criminal Background Check to include fingerprinting (facilitated by HR)

  2. High School Diploma or GED

  3. Three (3) Letters of Reference

  4. Cardiopulmonary Resuscitation (CPR)

  5. American Heart Association First Aid Training

  6. Professional Assault Crisis Training (ProAct)

  7. Current Driver’s License and Social Security Card

  8. TB Skin Test and Drug Screen (provided by the company)

  9. Proof of Vaccinations for MMR & Varicella.


These requirements must be met before you are allowed to work with patients.

Employment Application

Have you ever filed an application with WCH/MBR?

Type of work wanted:

Which shifts would you be available to work?

Can you perform the essential functions of the job you are applying for with or without a reasonable accommodation?

Are you over 21 years of age?

Have you ever worked under a different name?

Do you have a legal right to work in the US?

If yes, please enter:

A "yes" answer to the following will not automatically disqualify you, but may necessitate further review and inquiry.

Have you ever been convicted of a felony or a misdemeanor other than a minor traffic violation?

If yes, please explain:


School Name and Location

Major/Subjects Studied



Academic Achievements and Activities

Employment Record

Starting with PRESENT or most RECENT job, list all employers for the past five years.  Include self-employment, military service, summer, and part-time jobs.

Present/Previous Employer

Dates (mo/yr) & Salary

Present/Previous Employer

Dates (mo/yr) & Salary

Position & Duties

May we contact this employer?

Position & Duties

May we contact this employer?

Present/Previous Employer

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