Highland District Hospital
1275 North High St.
Hillsboro, OH. 45133
937.393.6100
866.393.6100
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Work Preferences
Were you previously employed by HDH?*
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If yes, what was your title?
If yes, what was your manager?
If yes, dates of employment
If yes, under what name?
What type of employment do you prefer?*
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Miscellaneous
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How did you learn about us?
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Have you ever been the recipient of any duty authorized sanctioning, disciplinary agency, or licensing board for either conduct or performance-based activities?
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If yes, explain
Are you willing to work irregular schedules, overtime, and weekends when necessary?*
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Education
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Employer #2
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