Application for Employment
Please Answer All Questions. Résumés Are Not A Substitute For A Completed Application.

MedWish Medworks (the Company) is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed servicemember status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information, pregnancy, citizenship status or any other category protected by applicable federal, state, or local laws.

THIS COMPANY IS AN AT-WILL EMPLOYER WHERE ALLOWED BY APPLICABLE STATE LAW. THIS MEANS THAT REGARDLESS OF ANY PROVISION IN THIS APPLICATION, IF HIRED, THE COMPANY OR I MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME, FOR ANY REASON, WITH OR WITHOUT CAUSE OR NOTICE. THIS APPLICATION DOES NOT CREATE ANY TYPE OF EXPRESS OR IMPLIED CONTRACT OTHERWISE.
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Applicant Name *
Position Applied For (list only one) *
Telephone Number *
Alternate/Cell Phone Number (if applicable)
Present Address (Street, City, State, Zip) *
How long have you lived there? (years/months) *
Email Address (optional)
Are you 18 years of age or older? *
If under the age of 18, can you produce the necessary work certificate at the time of employment?
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Type of Employment Desired *
Specify the Desired Hours *
Desired Salary/Hourly Pay *
Are you willing to work overtime if needed? *
Date on which you can start work, if hired: *
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If hired, can you provide proof that you are legally eligible for employment in the U.S.? *
If not, what steps must be taken for you to begin employment lawfully?
Have you previously applied for employment with this company, MedWish International, or Medworks? *
If Yes, when did you apply?
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Have you ever been employed by this Company? *
If Yes, provide dates of employment and reason for separation from employment.
If applicable, below list any other names by which you have been known which may be necessary to allow us to confirm your work and educational record. For example, change of name, use of an assumed name, nickname, etc.
Do you have any commitments to any other employer which could affect your employment with this Company if hired (for example, an employment agreement, a non-competition or non-solicitation agreement, etc.)? *
If Yes, please explain:
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