Highland District Hospital
1275 North High St.
Hillsboro, OH. 45133
937.393.6100
866.393.6100
My HDH Records
Save Time!
Pay Your Bill Online
Bill Pay Your Way
Patient Care
Cost Estimator
Click Here
937.393.6100
•
My HDH Records
Home
COVID-19 Update
Current Restrictions & Recommendations
About
Mission/Vision
Leadership Team
Board of Governors
Medical Staff Executive Committee
Contact
Services
Cardiopulmonary
Cancer Care & Hematology
The Center for Rehabilitation & Sports Medicine
Diabetes & You
Emergency Department
Endoscopy
Extended Care Unit - Inpatient Rehabilitation Care
Home Health
IV Therapy
Laboratory
Obstetrics
Occupational Health Services
Orthopedics & Sports Medicine
Outpatient Specialty Services
Pain Management
Pathways to Wellness
Radiology
Surgery
Provider Search
Financial Services
Financial Assistance
Patient Pricing
Billing & Collection Policy
Pay Online
Hospital Care & Financial Assistance Program
Foundation
About Us
Ways to Give
Donate Now
Annual Plan
Donor Recognition
Board of Directors
News and Events
Contact Us
News
Employment
Bill Pay Your Way
2020 Health Fair Registration
Coronavirus (COVID-19): A physician order is required for testing - Please contact your (Ohio) Primary Care Provider to obtain an order.
To protect our patients and to keep our employees healthy and able to continue issuing care to our community we are restricting visitors to our campus at this time. Learn More
Coronavirus (COVID-19):
To protect our patients and to keep our employees healthy and able to continue issuing care to our community we are restricting visitors to our campus at this time. Learn More
Application Form
Applicant's Information
Applicant's First Name*
Initial
Applicant's Last Name*
Address*
City*
State*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip*
Cell Phone*
Alternate Phone*
Email*
Are you at least 18 years of age?*
Yes
No
Are you a US Citizen?*
Yes
No
If not a US Citizen, type of Visa?
Work Preferences
Were you previously employed by HDH?*
Yes
No
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?*
Full-time (40 hours per week)
Part-time (less than 40 hours per week)
PRN (flexible schedule and/or hours)
What type of work will you accept?*
Full-time (40 hours per week)
Part-time (less than 40 hours per week)
PRN (flexible schedule and/or hours)
Preferred shift?*
First
Second
Third
Rotating
Date available to start?*
Position applying for (first preference)*
Wage expectation*
/hr
Position applying for (second preference)
Wage expectation
/hr
Miscellaneous
May we contact your present employer?*
Yes
No
How did you learn about us?
Advertisement
Word of Mouth
Recruiter / Staffing Agency
Walk-In
Internet
Referral
Other
Have you ever been the recipient of any duty authorized sanctioning, disciplinary agency, or licensing board for either conduct or performance-based activities?
Yes
No
If yes, explain
Are you willing to work irregular schedules, overtime, and weekends when necessary?*
Yes
No
If no, explain
Education
School #1 * (Most recent)
Name of School
Location*
Course of Study*
Years Completed*
Degree or Diploma?*
Graduated?*
Yes
No
School #2
Name of School
Location
Course of Study
Years Completed
Degree or Diploma?
Graduated?
Yes
No
School #3
Name of School
Location
Course of Study
Years Completed
Degree or Diploma?
Graduated?
Yes
No
Licenses and/or Certificates
Type
Professional (e.g., RN, MT, RRT)
Issuing state or agency
Number
Expiration Date
Type
Technical (e.g., MLT)
Issuing state or agency
Number
Expiration Date
Type
Other (e.g., NA)
Issuing state or agency
Number
Expiration Date
Previous Employment
Employer #1 (Most recent)
Company*
Phone*
Address
Title
Supervisor
Start Date*
End Date
Starting Salary
Ending Salary
Job Duties*
Reason Leaving
May we contact?*
Yes
No
If no, why?
Employer #2
Company
Phone
Address
Title
Supervisor
Start Date
End Date
Starting Salary
Ending Salary
Job Duties
Reason Leaving
May we contact?
Yes
No
If no, why?
Employer #3
Company
Phone
Address
Title
Supervisor
Start Date
End Date
Starting Salary
Ending Salary
Job Duties
Reason Leaving
May we contact?
Yes
No
If no, why?
Resume / Attachments*
Please click the button below to upload any needed attachments
Submit