Application for Employment

Please complete this form to the best of your ability.

 
     
    Department:
Are you 18 years old or younger?    
Would you consider any shift?    
Weekends/Holidays    
Rotating Shifts    
On Call    
Are you prevented from lawful employment because of your visa or immigration status?    
   
Were you ever convicted of a felony?    
Were you ever sanctioned for a violation of a compliance issue?    

Education

High School

     
Did you graduate?    

College

     
Did you graduate?    

College (additional)

     
Did you graduate?    


Professional Licenses and/or Certifications

   
   

Language Skills (where related to position sought)

   
   
   

   
   
   

Please list name, address, and phone number of previous employers with most recent employer first.





Can we run a detailed employment check, including but not limited to a check with your previous employers?    
Did you serve in the U.S. Armed Services?    
Have you volunteered your time or services?    

List at least 3 references who are not relatives or employers:







Release

I hereby authorize any prior employers to provide such information concerning my employment with them as may be requested, and also authorize the Registrar/Placement Office of all educational institutions attended to release any official copy of my transcript and if available, faculty appraisals.

Rules for acceptance and participation in the program are the same for everyone without regard to race, color, national origin, handicap, age or sex. Any person who believes he or she has been discriminated against in this program should write to: Administrator, Food & Nutrition Service, 3101 Park Center Drive, Alexandria, VA 22302.

On-Site Services

  • Cardiology: Dr. Daniel McGowan, CHI Heart Clinic Health Institute-Kearney
  • Surgery: Dr. John Tubbs, Dr. Anthony Akainda, Avera St. Anthony’s-O’Neill
  • Endoscopy: Dr. Anthony Akainda, Dr. John Tubbs, Dr. Jay Allison; Dr. Jordan Kunz
  • Epidural Steroid Injections: Kearney Anesthesia Services-Kearney
  • Joint Injections: Dr. John Tubbs and Kearney Anesthesia Services-Kearney
  • Nuclear Medicine Studies: Nebraska Heart Institute of Kearney
  • Mental Health:  Jessica Sawyer, FPMHNP, Richard Young, Kearney
  • Chiropractic Care:  Dr. Dan Nekolite, Finish Line Chiropractic, O’Neill

A full range of specialists are available via our Telehealth Network.

Scheduling Coordinator: Shannon – Phone: 402-684-3366

01

Our Vision

The Rock County Hospital will maintain a professional healthcare environment that promotes ethical health, healing and a reputation of honesty, fairness, integrity and trust.

02

Our Mission

The Rock County Hospital, Long Term Care and Clinic recognize the value of every person, whether patient, family or employee and strive to continue our legacy of caring. We will demonstrate this by providing exemplary physical, emotional and spiritual care with high quality, professional, cost-effective health care. Our employees are knowledgeable, valued, respected and encouraged to grow.

03

Our Solution

A dedicated staff of nurses and providers committed to clinical excellence and spiritual well-being.

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