North Cascade Cardiology: Apply Online

Please reference the title of the position you are applying for. Please attach your resume, or complete the following fields. For the privacy of our applicants, please note that your personal information will be sent through a secure server.

Position(s) Applied For (Required)

Date of Application:

Position(s) Applied For:

Attach Resume (Optional)

Attach Resume:
(Word Doc or PDF)

Education

High School

School Name:

Years completed:

Degree:

Describe course of study:

Describe specialized training, apprenticeship, skills and extra-curricular activities:

Honors received:
(State any additional information you feel may be helpful to us in considering your application.)

College / University

School Name:

Years completed:

Degree:

Describe course of study:

Describe specialized training, apprenticeship, skills and extra-curricular activities:

Honors received:
(State any additional information you feel may be helpful to us in considering your application.)

Graduate / Professional

School Name:

Years completed:

Degree:

Describe course of study:

Describe specialized training, apprenticeship, skills and extra-curricular activities:

Honors received:
(State any additional information you feel may be helpful to us in considering your application.)

References

Associations:
(List professional, trade, business or civic activities and offices held. You may exclude memberships that would reveal sex, race, religion, national origin, age ancestry, disability or other protected status.)

Give the name, address and telephone numbers of three (3) references who are not related to you and are not previous employers.

Reference Name 1:
Reference Telephone 1:
Reference Address 1:

Reference Name 2:
Reference Telephone 2:
Reference Address 2:

Reference Name 3:
Reference Telephone 3:
Reference Address 3:

Employment Experience

Start with your present or last job. Include military service assignments and volunteer activities. (You may exclude organization names that would reveal sex, race, religion, national origin, age, ancestry, disability or other protected status.)

Most Recent or Present Employer

Employer:

Dates Employed:
(Month/Year - Month/Year)

Phone Number:

Job Title:

Supervisor:

Starting Hourly Rate / Salary:

Final Hourly Rate / Salary:

Work Performed:

Reason for Leaving:

Previous Employer 1

Employer:

Dates Employed:
(Month/Year - Month/Year)

Phone Number:

Job Title:

Supervisor:

Starting Hourly Rate / Salary:

Final Hourly Rate / Salary:

Work Performed:

Reason for Leaving:

Previous Employer 2

Employer:

Dates Employed:
(Month/Year - Month/Year)

Phone Number:

Job Title:

Supervisor:

Starting Hourly Rate / Salary:

Final Hourly Rate / Salary:

Work Performed:

Reason for Leaving:

Previous Employer 3

Employer:

Dates Employed:
(Month/Year - Month/Year)

Phone Number:

Job Title:

Supervisor:

Starting Hourly Rate / Salary:

Final Hourly Rate / Salary:

Work Performed:

Reason for Leaving:

Special Skills and Qualifications

Summarize special skills and qualifications acquired from employment experience or education:

Applicant's Statement (Required)

I certify that the answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 180 days. If i wish to be considered for employment beyond this time period, I understand that I need to inquire as to whether or not applications are being accepted at that time.

I understand that neither this document nor any other offer of employment from the employer constitutes an employment contract unless a specific document to that effect is executed by the employer and me in writing.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all the rules and regulations of the employer.

I agree (Required)