Wayne Memorial Hospital - Jesup, GA

Application Submitted

Your application has been submitted successfully. Good luck!

A resume is required
The file attachment is limited to 50MB

Personal Details

Full Name*

A full name is required

Email Address*

An email is requiredAn email is required

Phone Number*

A phone number is required

Address*

Address is required

Which location are you applying for

Preferred location is required

Experience

Work History*

A response is required

Education*

A response is required

Experience Summary

Experience Summary is required

Job Data

  • Are you a U.S. citizen or an Alien who has the legal right to work in the job for which you are applying?*

    A response is required
  • Have you ever filed an application with us before?*

    A response is required
  • if yes, give date:*

    A response is required
  • Have you ever been employed with us before?*

    A response is required
  • If yes, provide your Name, Date and Position Title:*

    If not please type N/A

    A response is required
  • Are you currently employed?*

    A response is required
  • Are you currently on "lay-off" status and subject to recall?*

    A response is required
  • May we contact your current employer?*

    A response is required
  • Are you availible to work (check all that apply):*

    • Full Time
    • Part Time
    • PRN/Temporary
    A response is required
  • Shifts you can work:*

    • 7AM - 3PM
    • 3PM - 11PM
    • 11PM - 7AM
    • 7AM - 7PM
    • 7PM - 7AM
    • Other
    A response is required
  • Do you have a valid Drivers License?*

    A response is required

Licenses & Miscellaneous

  • Professional Licenses, Registrations, and Certificates*

    Please Provide the Type, State, Number, Issued Date, and Expiration Date

    A response is required
  • Do you understand that due to the nature of the service we provide, an exceptional record of attendance, promptness, and dependability is required of all hospital employees?*

    A response is required
  • Do you understand that employment is contingent upon passing a drug test, background check, health screening examination, satisfactory education, prior employment, and reference certification?*

    A response is required
  • Is there any other pertinent information which you would like to provide?*

    A response is required
  • I hereby state that information given by me in this application is true in all respects. I understand I may be terminated for falsification of information provided to Wayne Memorial Hospital, whether it is by omission or misrepresentation of the facts.*

    A response is required
  • If hired, you are required to complete all hospital health requirements, which the hospital provides, and complete a self-study packet prior to our first day of work. You will also be required to attend a one-day general orientation session. (Orientation will be paid time). Do you agree to complete these tasks?*

    A response is required
  • On an annual basis, you will be required to complete health requirments and attend annual updates for fire/saftey, universal precautions, hazerdous materials, CPR, etc. (Annual update will be pair time). Do you agree to complete these tasks?*

    A response is required
  • When you come in Please provide the originals of the following (copies will be made and the originals will be returned to you): Drivers License, Social Security Card, Professional Licenses or Certificate, and your CPR card/any other advanced certification card.*

    • I acknowledge
    A response is required

Refrences

  • Please provide at least 2 former employer references:*

    Questionnaires will be auto delivered to your references inbox

    • Reference 1

      A response is required
      A response is required

      Relationship

      • Professional
      • Personal
      A response is required
    • Reference 2

      A response is required
      A response is required

      Relationship

      • Professional
      • Personal
      A response is required
  • I consent to and authorize the above named former employer, its agents and employees, to furnish any information concerning me, including achievement, wage history, performance, attendance, personal history, disciplinary information and reason for separation of employment. I hereby release the above named former employer, its agents and employees, from all liability claims which arise or result from any information provided pursuant to this authorization.*

    A response is required
  • The Secretary of Health & Human Services issued a mandate in November, 2021, that in order to receive Medicare and Medicaid funding, participating facilities must ensure that their staff ­ unless exempt for medical or religious reasons - are vaccinated against COVID-19. The United States Supreme Court has upheld this mandate. A facility's (e.g. Wayne Memorial Hospital) failure to comply may lead to monetary penalties, denial of Medicare and Medicaid payments for new admissions, and ultimately termination of participation in Medicare and Medicaid programs. As such, Wayne Memorial Hospital (WMH) must comply with this mandate. When requested appropriately, WMH will provide an exemption for staff's/employee's medical condition. Are you currently vaccinated, willing to get vaccinated, or have a medical or religious reason for exemption?*

    A response is required
  • Upon Completion of this Application you shall receive a couple of documents to e-sign. Please complete these before your application can be processed. Thank You.*

    A response is required

We're an equal opportunity employer

You are requested (not required) to complete the personal data below. This information will only be used for government reporting purposes and not as selection criteria for our hiring process.

  • Race or Ethnicity

    A response is required
  • Gender

    A response is required

You're nearly done

Click the Submit button below to finish.
Your application contains errors
Your application contains errors