Which position are you applying for? *
What would be your desired hours?
School Information #1
School Information #2
School Information #3
Employment History #1
Employment History #2
Employment History #3
Proceed past the military section if not applicable.
If other than honorable, please explain.
Have you ever been employed with this company before?
Do you have any friends or relatives employed by this company?
Are you on "layoff" and subject to recall?
If you are under 18 years of age, can you provide proof of your eligibility to work? *
If hired, can you provide proof of U.S. citizenship or proof of your legal right to work in the U.S.? *
If hired, do you have a reliable means of transportation to and from work?
If hired, would you be able to travel or work overtime or weekends as needed?
Have you ever been convicted of a felony? *
Additional Comments (Expand on any points or questions asked previously in this application).
PreEmployment drug testing is required of all applicants. All employment offers are conditional upon a negative drug screening test.
*Application must be thoroughly completed. Incomplete applications will not be considered. Employment with Orthopaedic Specialists of the Four States is a voluntary one and is subject to termination by you or Orthopaedic Specialists of the Four States at will, with or without cause, and with or without notice, at any time. Nothing in these policies shall be interpreted to be in conflict with or to eliminate or modify in any way the employment at will status of Orthopaedic Specialists of the Four States employees. This policy of employment at will may not be modified by any officer or employee and shall not be modified in any publication or document. The only exception to this policy is a written employment agreement approved at the discretion of the President or the Board of Directors, whichever is applicable.