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Employee Voluntary Invitation to Self-Identify
Voluntary Self-Identification of Disability
Please select the position you are interested in applying for:
ACH General ApplicationAdministrative AssistantAMMS - Medical Office: LPN and RN Positions AvailableAMMS - Per-Diem Radiology TechnologistAMMS – Part Time OB/GYN Ultrasound TechnicianAMMS Physician Assistant – OrthopedicsBiller/Full TimeCentral Sterile Technician/Full Time/Days & EveningsCertified Nursing Assistants & Certified Nursing Assistant Trainees / Finger Lakes Center For LivingCheckpoint Staff/Part-Time/TemporaryClinical Documentation Specialist/Registered Nurse/Full TimeClinical Systems Analyst (RN)Coder-Inpatient/Full TimeCoder/Full time or Part timeCritical Care Registered Nurse - New Rates, $10,000 Sign On BonusDietary Positions/Part TimeEmergency Room RN - New Rates, $10,000 Sign On BonusEngineer II – Compliance Officer/Full TimeEVS Day SupervisorFinancial Counselor/Full TimeFLCL - Full-Time Nurse ManagerFloat Registered Nurse - AMMSFloat RN Position AvailableFull Time Assistant Nurse Manager/Behavioral Health Unit – Primarily DaysFull Time Assistant Nurse Managers/Med/Surg – Days, Evenings, and NightsFull time CT TechnologistFull time Medical Technologists/MicrobiologistsFull Time Nurse Practitioner or Physician Assistant/Evenings & Nights/Critical Care UnitFull-Time Environmental Services SupervisorFull-Time Laboratory AssistantFull-Time Transportation AideHousekeeping Attendants/Full Time & Part TimeHousekeeping Attendants/Full Time/3pm – 11pmHousekeeping Attendants/Part Time & Full Time/3pm-11pm & 11pm-7am ShiftsLicensed Practical Nurses/Part Time & Full Time/Finger Lakes Center For Living - NEW RATESMed/Surg Nursing - New Rates, $10,000 Sign On BonusMedical Biller/Full TimeMedical Technologist/Full TimeMicrobiology Supervisor/Full TimeNuclear Medicine Technologist/Full Time/12 Hour ShiftsNurse Manager of Behavioral HealthNursing SupervisorNursing Supervisor - Days/EveningsNursing Supervisor/Full Time & Part Time/Finger Lakes Center For LivingOBGYN Registered Nurses/Full Time & Part Time/7pm-7amOperating Room TechnicianPart-Time Patient Service RepPart-Time Stockroom ClerkPatient Care Assistants (FT, PT, Per Diem)Patient Financial Services Assistant Manager/Full TimePatient Safety Companion/Sitter (Per diem)Per Diem MDS Coordinator - Finger Lakes Center For LivingPhlebotomist (Various Shifts)Physician Assistant / Family Nurse Practitioner - AMMS - Urgent CareRegistered Nurse - Cardiovascular LabRegistered Professional Nurse ODS/PACURespiratory Therapist Positions, Full time & Part time - Flexible ShiftsRespiratory Therapist/Part TimeRN Admissions Coordinator/Finger Lakes Center For LivingRN Case ManagerRN Case Manager - Per DiemRN Clinical Leader - Emergency DepartmentRN Interventional RadiologyRN Operating Room - New Rates, $10,000 Sign On BonusSecurity Guard/Part Time/NightsSecurity Officers/Part Time & Per DiemSenior Biller/Full TimeSocial Worker/Discharge PlannerStaffing Coordinator/Payroll AssistantTelemetry Nursing Positions Available - New Rates, $10,000 Sign On BonusUrgent Care - Physician Assistant / Family Nurse PractitionerWeekend Nursing Supervisor (Work 32/ Get Paid for 40)
Disclaimer: Positions listed below may not be available at the time of application, however, all applicants will be placed into a pool and considered when job availability opens up.
First Name (required)
Last Name (required)
Home Phone (required)
E-Mail Address (required)
Have you ever been employed at Auburn Community Hospital, Auburn Memorial Medical Services (AMMS, PC) or the Finger Lakes Center For Living? (required)
If so, when?
How did you learn of this position?
Employee ReferralWalk InMonster.comCareer BuilderJob FairTemp AgencyCollege RelationsOpen HouseExternshipAdCommunity or Other AgencyOther
If ad, friend, relative, job fair or other, specify
Date Available for Work (required)
Type of Employment Desired
No preferenceFull-timePart-timePRNWeekendOvernightTemporarySummerPer Diem
Are you willing to work weekends? (required)
Are you willing to work holidays? (required)
Are you legally authorized to work in the US? (required)
Are you 18 years of age or older? (required)
Have you applied for employment with our organization within the past two years? (required)
Do you have any employment commitments with any other employer, including any form of self-employment or contract work, which you expect to keep even if you are hired by our company? (required)
Have you ever been known by a different name? (required)
Can you perform the essential functions of the job for which you are applying with or without reasonable accommodations? (required)
Enter Name & Location of all High Schools, Vocational Schools, Business Schools, Colleges, and Related Military Courses attended.
# of Years of High School Completed
# of Years of College Completed
Other Trade, Business, Night or Correspondence School
Typing Words Per Minute
Medical Terminology Knowledge
List Computer Program Knowledge
Are there any other special experiences or skills you feel would especially qualify you for the position?
Branch of Service
Rank at Discharge
Date of Final Discharge
Describe your duties & any special training which may be related to the position(s) for which you are applying
Name/Title of Immediate Supervisor
Describe your work/responsibilities
Reason for Leaving
May we contact the employer?
If you wish, you can upload a resume/cover letter below.
MaleFemaleOtherPrefer Not to Say
YesNoPrefer Not to Say
Have you been a resident of New York for the past two consecutive years? (required)
Have you ever been convicted in any state of the United States of a felony or misdemeanor? (required)
Are there any criminal charges pending against you anywhere? (required)
Have you ever been convicted of an offense (misdemeanor or felony) other than a minor traffic violation? (Driving under the influence [DUI] and Driving while intoxicated [DWI] convictions are not minor and must be reported.)
Have you ever been found guilty of a criminal offense?
Have you ever been imprisoned or jailed in a criminal proceeding?
A "yes" to any questions above does not automatically keep you from being hired. If you answered "yes" to any questions you must fully explain.
Your omission or falsification of any criminal history, or any disclosure required by this form, is a cause for dismissal from employment or consideration for employment.
Examples of a criminal offense: Assault/battery, auto theft, disorderly conduct, domestic violence, DUI/DWI, fraud ( welfare/food stamps) loitering, prostitution/solicitation, robbery, shoplifting, theft (grand/petty), trespassing, worthless checks. Note: This is not a complete list and is intended to provide examples only. You must list all convictions including juvenile incidents and those in which adjudication was withheld and/or records were sealed/expunged.
I verify that this information is true, and that I have not been convicted of any crime that would disqualify me from the position(s) for which I am applying. I hereby authorize company to request, obtain and examine any and all records that may relate to my arrest, conviction and/or imprisonment at any time for any felony or misdemeanor and I expressly release and hold harmless any party providing the aforementioned criminal information requested by company. (required)