banner left
banner right

We are an Equal Opportunity Employer in compliance with the laws prohibiting discrimination on the basis of race, color, sex (including pregnancy, sexual orientation, or gender identity), genetic information, religion, national origin, age, disability, marital status, citizenship, military or veteran status, or any protected category prohibited by local, state or federal law.

By submitting this form, you agree to the following:  I consent to any medical examination required by the facility at any time to determine my ability to perform the duties of my job or other jobs with the facility and I understand that my employment may be conditioned upon satisfactorily passing a physical examination. I understand that I will be required to satisfactorily complete a drug screening and a criminal background check as a condition of employment. I also understand that the facility may have a no-smoking policy and I agree to comply with its requirements.

I understand and acknowledge that my employment is at-will, which means that either I or the employer may terminate employment at any time and for any reason with or without notice. I also understand that no one has any authority to enter into any agreement contrary to the preceding sentence except for a written agreement signed by the president of the Corporation.

I hereby affirm that the information contained in this application (and resume, if any) is accurate and complete and I understand that any false or misleading information or omissions will disqualify me from employment consideration or result in termination of employment, regardless of when discovered.

I hereby authorize the employer to (1) investigate all statements contained in this application; (2) contact my former employers and other listed references or any other persons who can provide information relative to my employment consideration; (3) contact any persons or entities regarding my employment application; (4) and make any other inquiries that the employer deems relevant in arriving at a decision regarding my application for employment. I consent to any contacted person, including former employers, to provide information about me and I covenant not to sue any such person for information provided about me.

Employment Inquiry
Educational History
Employment History
Employment History
Please send resume

Hospital Sisters of St. Francis 4 849 LaVerna Road, Springfield, IL 62707 (217)522-3386
footer right

Click to Print this Page