MCN’s customizable template, Employment Application Form, is taken from our Medical Office Policy and Procedure Manual. MCN Healthcare’s proven policy and procedure templates, competencies and compliance tools have assisted more than 20,000 health care organizations worldwide meet their regulatory compliance goals.

MCN’s templates save you time, money and resources, rather than developing healthcare policy and procedure manuals from scratch.

Here is some sample content from Employment Application Form:

	EMPLOYMENT APPLICATION Please Print Name: Business Telephone: Social Security #: Present Address: Permanent Address if different from present address: EMPLOYMENT DESIRED Position applying for: Are you applying for: Regular full-time work? Temporary work, e.g., summer or holiday work? What days and hours are you available for work? If applying for temporary work, during what period of time will you be available? From: Are you available for work on weekends? Would you be available to work overtime, if necessary? If hired, on what date can you start work? Salary desired: Are you...
Second excerpt:
	... If yes, which languages? Do you have any other experience, training, qualifications or skills which you believe make you especially suited for work at this company? If so, please explain. Answer the following questions if you are applying for a professional position. Are you licensed/certified for the job applied for? Name of license/certification: Issuing state: Has your license/certification ever been revoked or suspended? If yes, state reasons, date of revocation or suspension and...