Online Job Application

Why register?   Registering on our website is not required to complete an online job application. However, as a registered user, you can store your profile information to be used each time you apply for a job. 

After logging in, click on your user name at the foot of the page and choose Edit Profile. Select the Manage Profile tab to enter your personal information. The information you enter will automatically fill the corresponding fields in the application below. 

Register for easy on-line applying



Position Information:

Job Title:
Have you applied at SPH before?

Personal Data:

Last Name: First: Middle:
Email:
Street Address:
City: State: Zip:
Telephone:
Alternate Telephone: Are you at least 18 years of age?
Have you been employed at SPH before? if yes, from: to:
If yes, Job Title:
Does an immediate family member or a person with whom you have a significant personal relationship work here? (Sauk Prairie Healthcare policy prohibits direct or indirect supervision of an employee by a person with such a relationship.)
Do you have the legal right to work and remain in the United States? (Employment eligibility verification is required if hired)
Have you ever been convicted of any law violation other than minor traffic violations? You must include all felonies and misdemeanor convictions including, but not limited to, disorderly conduct convictions or other non-criminal convictions which resulted in a fine. (A criminal records check will be conducted on all new employees prior to the first day of employment.)
If yes, please describe and indicate date(s). (A conviction record will not necessarily disqualify you from employment consideration. A background check is required prior to employment.)

Availability:

Check all that apply.








Are you able to rotate shifts?
Hospital employees occasionally work more than 8 hours per day and most positions work some holidays. Are you able to meet this requirement?

Education:

  Name of School Address, City, State Course of Study Last Year Completed Did you Graduate Diploma or Degree
High School
College
Technical/Business
Graduate
Other
List your experience with computers and other office equipment:
Please list any additional experiences, skills and qualifications which relate to the job for which you are applying:

Professional Licenses, Accreditations, and/or Certification:

List professional licenses, certifications, or registrations below.
License(Title): Expiration Date:
License(Title): Expiration Date:
CPR Certification? ACLS Certification?

Work History:

List all current and prior employment. A resume is not a substitute for completing this section.
Current or Most Recent Employer Company Name:
Dates of Employment:
From: To:
Street Address:
City:
State:
Zip:
Phone:
Title:

Last Salary:
Supervisor's Name:
Job Responsibilities:
Reason for Leaving:
May we contact for a reference?
Your Name Then (if different)
Previous Employer Company Name:
Dates of Employment:
From: To:
Street Address:
City:
State:
Zip:
Phone: