South Central Family Health Cent

Family Nurse Practioner

Step 1 of 4

Information

NOTE: Our hiring process includes background checks including a criminal record check once a conditional offer of employment is made. A criminal record will not constitute an automatic bar to employment. Factors such as age and time of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account. Applicants will have the opportunity to address any “negative” information found. (Minor traffic infractions and convictions for which the record has been sealed or expunged, any conviction for which probation has been successfully completed or otherwise discharged and the case has been judicially dismissed, referrals to and participation in any pretrial or post trial diversion programs, and marijuana-related offenses that occurred over two years ago will not be included in decision making).

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Work History

Please list the names of your present or previous employers in chronological order with present or last employer listed first. Be sure to account for all periods of time including military service and any period of unemployment but do not include any information that may disclose any Criminal History. If self-employed, give firm name and supply business references. [Add additional page if necessary] 

Education History

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