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Fairview Regional Medical Center

Application for Employment

We are an equal opportunity employer and do no lawfully discriminate in employment. No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibit ed by local, state, or federal law. Equal access to employment,
services, and programs is available to all persons. Those applicants requiring reasonable accommodation to the application and/ or interview process should notify a representative of the organization.

Number, Street, City, State, ZIP
Mailing address and complete phone number
Mailing address and complete phone number
List software packages with release version, and specific systems experience.
A conviction includes a plea of guilty and/or nolo contendré (no contest). This information does not necessarily prohibit employment with the Company. This information is only for job-related purposes and used only to the extent permitted by applicable state and federal law.
Employer #1
Type name to be used as signature
Select agreed to submit application.

Fairview Regional Medical Center’s Mission Statement is to provide high quality, family-centered healthcare, to the people of Fairview and surrounding communities. Our Vision is to become the recognized hub, within the hospital’s service area, for the provision of high quality family-centered healthcare. Our Values at Fairview Regional Medical Center are: Confidence, Quality, Integrity, Collaboration, Accountability and Respect.