Mayo Careers Application

Name
Address

Date Available to Start Work
Today
Can you do Shift / Weekend Work?
How did you hear about this position?

Are you at least 18 Years of age?
Have you ever been convicted of a crime?
Note: Conviction is not an automatic bar to employment.
Have you ever been convicted of abusing, neglecting, or mistreating individuals, or misappropriation of thier property in a healthcare setting?
Do you have any relatives in our employ?
Have you ever been employed by Mayo Regional Hospital?
Starting with most recent employer




I acknowledge that it is a condition of employment to annually receive the flu immunization and I agree that I will receive the flu immunization or I will provide appropriate and timely documentation for medical contraindication or sincerely held religious beliefs.
 
In making this application for employment, I authorize contact with any school or former employer and/or references to verify the information that I have provided on this application. I release those parties providing reference information from any and all liabilities or claims arising from the verification process. I acknowledge that any falsification of information provided by me in this application or otherwise in the pre-employment process can result in denial of employment or, if employment has occurred, in dismissal. I agree, if employed, to abide by all hospital rules and regulations.