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Health Care


 

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Employee Application

Personnel File

If you are already an HCI Employee, you do NOT need to fill out this form.
Simply click here if you are already an employee: Inquire about Job

Answer a few questions about your capabilities and the kind of position you are looking for, and submit it to our personnel file. We will keep you in mind the next time something opens up.

  1. We will need to know how to reach you if a position becomes available that matches your education and related experience.   Enter below the information for the most appropriate way to contact you:
    (*) required field

    First Name*:
    Last Name*:
    License Number:
    Street address*:
    Address (cont.):
    City*:
    State*:
    Zip/Postal Code*:
    Home Phone*:
    Cell Phone*:
    Work Phone:
    FAX:
     E-mail:
  2. What is your current title?


     
  3. How long have you held this position?


     
  4. Briefly describe your current responsibilities:


     
  5. Describe the position you are looking for:


     
  6. Describe your relevant experience (other than your current position):


     
  7. If you have a minimum salary requirement, enter it here:


     
  8. What is the best time of day to reach you:


     
  9. How did you hear about us?


     
  10. How long should we keep your information on file?

 Please email us your resume as well! Thank you!

Want to fill out a resume as well? Click here.