Garrett Regional Medical Center

Online Employment Application


Please fill out the application below and click "Submit Form" when you are finished.
Please only click the "Submit Form" button once to prevent duplicate and/or incomplete entries.

APPLICATION FOR EMPLOYMENT

It is the policy of Garrett Regional Medical Center and its wholly owned subsidiaries (the “Hospital” or “GRMC”) to provide equal employment opportunity to all employees and applicants for employment regardless of race (including protected hairstyles and traits such as braids, twists, locks, hair texture and afro hairstyles), religious creed, religion, age, sex, sexual orientation, gender identity or expression, genetic information, national origin, veteran status, military status, physical or mental handicap, disability, marital status, pregnancy or childbirth (or medical condition related to pregnancy or childbirth), or any other category covered by applicable law. This Policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation and training.

Personal

Last
First
Middle
Street
City
State
Zip Code

JOB DATA

EDUCATION/TRAINING

HIGH SCHOOL

Street
City
State
Zip Code

COLLEGE

Street
City
State
Zip Code

COLLEGE

Street
City
State
Zip Code

MILITARY EXPERIENCE

THIS SECTION TO BE COMPLETED BY LICENSED PROFESSIONALS ONLY

THIS SECTION FOR CLERICAL AND SECRETARIAL APPLICANTS

WORK EXPERIENCE

1)

Street
City
State
Zip Code

2)

Street
City
State
Zip Code

3)

Street
City
State
Zip Code

4)

Street
City
State
Zip Code

PERSONAL or PROFESSIONAL REFERENCES

ADDITIONAL INFORMATION or COMMENTS

PLEASE READ CAREFULLY AND SIGN BELOW

I UNDERSTAND THAT DUE TO THE NATURE OF THE SERVICES WE PROVIDE, AN EXCEPTIONAL RECORD OF ATTENDANCE, PROMPTNESS AND DEPENDABILITY IS REQUIRED OF ALL GARRETT REGIONAL MEDICAL CENTER EMPLOYEES.

I UNDERSTAND THAT EMPLOYMENT IS CONTINGENT UPON PASSING A PRE-PLACEMENT PHYSICAL EXAMINATION AND SATISFACTORY EDUCATION, PRIOR EMPLOYMENT AND REFERENCE VERIFICATIONS.

THE FACTS SET FORTH IN MY APPLICATION ARE TRUE AND COMPLETE. I UNDERSTAND THAT FALSE OR INCOMPLETE INFORMATION, INCLUDING MISSTATEMENTS, MISREPRESENTATIONS, OR OMISSIONS, FURNISHED ON THIS APPLICATION OR ON ANY OTHER FORM USED IN THE HIRING PROCESS SUCH AS FOR EXAMPLE, EMPLOYMENT VERIFICATION FORM I-9 OR PHYSICAL EXAMINATION FORMS, IS SUFFICIENT CAUSE FOR NOT CONSIDERING THE APPLICATION AND FOR TERMINATION FROM EMPLOYMENT IF DISCOVERED AFTER HIRING.

I UNDERSTAND THAT THIS APPLICATION IS NOT INTENDED TO BE A CONTRACT OF EMPLOYMENT, NOR DOES IT OBLIGATE THE GARRETT REGIONAL MEDICAL CENTER IN ANY WAY IF THE GARRETT REGIONAL MEDICAL CENTER DECIDES TO EMPLOY ME.

I UNDERSTAND THAT GARRETT REGIONAL MEDICAL CENTER FOLLOWS THE CONCEPT OF AT-WILL EMPLOYMENT, WHICH MEANS THAT IF EMPLOYED AT THE HOSPITAL, I MAY TERMINATE MY EMPLOYMENT AND THE HOSPITAL MAY TERMINATE MY EMPLOYMENT AT ANY TIME AND FOR ANY REASON.

IN MAKING THIS APPLICATION FOR EMPLOYMENT, I AUTHORIZE THE GARRETT REGIONAL MEDICAL CENTER TO CONTACT ANY OF MY SCHOOLS, FORMER EMPLOYERS OR OTHER REFERENCES UNLESS OTHERWISE STATED. I ALSO HEREBY AUTHORIZE MY FORMER EMPLOYERS AND THOSE INDIVIDUALS WHOM I HAVE LISTED ON MY APPLICATION AS REFERENCES TO FURNISH ANY INFORMATION CONCERNING MY PERSONAL CHARACTER, HABITS OR WORK RECORD. I HEREBY RELEASE ALL SUCH PERSONS FROM ANY LIABILITY OR DAMAGE ON ACCOUNT OF HAVING FURNISHED THIS REQUIRED INFORMATION.

UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.