Employment Application

Endless Mountains Health Systems is an equal opportunity employer and affords equal opportunity to all applicants for all positions without regard to race, color, religion, gender, national origin, age, disability, veteran status or any other status protected under local, state or federal laws.

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If no, you may be required to provide authorization.)

High School:
Employment History (1):
Employment History (2):
Employment History (3):
**Please read carefully before sending**
By submitting this form I hereby certify that all of the information provided by me in this application (or any other accompanying require documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial or employment or immediate termination of employment regardless of the timing or circumstances of discovery. I understand and give authorization for EMHS to request information from various federal, state, and other agencies, including public sources which maintain records concerning my past activities relating to my criminal record, previous employment, and educational background. I understand, also, that I am required to abide by all rules and regulations of the Company.

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