Apply for a job at TCMH

Texas County Memorial Hospital is an equal opportunity employer and does not discriminate because of race, color, sex, age, national origin, physical disabilities, religion, citizen status, ancestry, marital status, military status, unfavorable discharge from military, parental status, or sexual orientation.

Step 1 of 7 - Name And Contact Information

NAME AND CONTACT INFORMATION
Name*
First Middle Last
Residence*
Street Address City State ZIP Code
Email*
Home phone*
Phone number for messages
Application date*
MM slash DD slash YYYY

PROFESSIONAL LICENSES, REGISTRATIONS, AND/OR CERTIFICATIONS
Type
State issued
Date
MM slash DD slash YYYY
Number
Verif.
- Yes
- No
Type
State issued
Date
MM slash DD slash YYYY
Number
Verif.
- Yes
- No
Type
State issued
Date
MM slash DD slash YYYY
Number
Verif.
- Yes
- No
Area of specialization or major interest:

PERSONAL REFERENCES, RESUME, AND AFFIDAVIT
Give names of persons who know you well that we may contact - a minimum of two must be provided.
Reference 1
Name*
Occupation*
Phone*
Organization*
Address*
Reference 2
Name*
Occupation*
Phone*
Organization*
Address*
Reference 3
Name
Occupation
Phone
Organization
Address
Upload Resume (Optional)
File Upload
Please confirm that your resume is in PDF format. If you're unsure of how to convert your file to a PDF, please visit https://www.adobe.com/acrobat/online/convert-pdf.html
Accepted file types: pdf, Max. file size: 4 MB.
Terms & Conditions*
Please be advised that by uploading your resume through this form, you are consenting to the collection and storage of your personal information by Texas County Memorial Hospital. We take data retention and security very seriously and have implemented measures to protect your information from unauthorized access, use, or disclosure.

However, please note that we will retain your information for a period of up to six months from the date of submission, after which it will be securely deleted from our systems. By submitting your application, you acknowledge and agree to these terms.

If you have any concerns regarding the collection, storage, or security of your personal information, please contact Texas County Memorial Hospital before submitting your application.

This website strictly prohibits the upload or submission of any Personal Health Information (PHI) in any form, including but not limited to medical records, test results, diagnosis reports, or any other identifiable health-related information. If you become aware of any unintentional or unauthorized submission of PHI through the website forms, please notify us immediately at [email protected] to enable prompt remedial action.
I agree to the Terms & Conditions listed above.
AFFIDAVIT
I certify that the answers given by me to the foregoing questions and statements are true and correct without consequential omissions of any kind whatsoever. I agree that my employer shall not be liable in any respect if my employment is terminated because of the falsity of statements, answers or omissions made by me in this questionnaire. I authorize employers, companies, schools or persons named above to give any information regarding my employment, together with any information they may have regarding me, whether or not it is in their records. I hereby release said employers, companies, schools or persons from all liabilities for any damage, both legal and otherwise, for issuing this information. If accepted for employment, I hereby agree to abide by the rules and policies of my employer. I realize that TCMH operates 24 hours a day, 7 days a week, and that although an initial schedule has been explained to me, I realize I may be required to work differing schedules with changes in the days of the week I work, differing shifts, and greater or fewer days in a pay period depending on the census of patients.I understand that in order for the hospital to maintain its standards of care and orderly operation, I may be required to sometimes work overtime. I authorize any reference source to provide TCMH with any and all information concerning my previous work and/or school records and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.I further agree that TCMH may furnish like information to those with whom I may hereafter seek employment and hereby agree to save TCMH free and harmless from all any and all liability therefore. I am aware that a criminal background check will be done as required by Missouri Law.I understand TCMH will follow Missouri House Bill 1362 regarding eligibility for employment if I have been convicted of Class A or B felony. Further, I understand that any employment is not for a stated period of time and may be terminated, with or without cause, at anytime, at the option of either myself or my employer.In addition, TCMH is a Drug Free Work Place and under the Drug Free Work Place Act of 1988, I agree to abide by such established policies as relates thereto.
I also understand that ALL JOB OFFERS ARE CONDITIONAL ON PASSING A REQUIRED DRUG SCREENING WITHIN 24 HOURS OF AN OFFER.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER.

A COPY OF THIS COMPLETED APPLICATION IS AVAILABLE TO YOU ON REQUEST.
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Apply for a job at TCMH

Apply for a job at TCMH

Step 1 of 7 - Name And Contact Information

NAME AND CONTACT INFORMATION

EMPLOYMENT DESIRED

CITIZENSHIP

PERSONAL

EDUCATION

Elementary School

High School

Technical or Vocational School

Jr. College, College, or University

EXPERIENCE

Job 1 - List most recent first

Job 2

Job 3

Job 4

PROFESSIONAL LICENSES, REGISTRATIONS, AND/OR CERTIFICATIONS

PERSONAL REFERENCES, RESUME, AND AFFIDAVIT

Reference 1

Reference 2

Reference 3

Upload Resume (Optional)

AFFIDAVIT