Application

Team photo of professional workers

    Association With Modoc Medical Center

    WORK NEEDS PREFERENCES

    EDUCATION/SKILLS

    CURRENT/MOST RECENT EMPLOYER

    PREVIOUS EMPLOYER

    PROFESSIONAL REFERENCES

    Please list three professional references and their contact information (Do not list relatives):

    TERMS & CONDITIONS

    In consideration of my employment, I agree to conform to the rules and regulations of this facility. I understand that my employment can be terminated at any time and for any reason at the option of either the facility or myself. I understand that no one has any authority to enter into any agreement for employment for any specified period or to make any agreement contrary to the previous, except for in a written employment agreement signed by an Administrative Representative of the facility. I hereby affirm that the information provided on this application is true and that falsifying this document may disqualify me from further consideration for employment and may result in discharge, even if discovered later. In compliance with federal and state Equal Employment Opportunity Laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, Veteran Status, disability, or any other legally protected group status. Modoc Medical Center is an equal opportunity employer.

    Contact Amber Vucina, Chief Human Resources Officer, if you need to submit supporting documents with your application at avucina@modocmedicalcenter.org.