Pre-Application Questionnaire

Thank you for your interest in employment at The Regional Hospital. Please complete the following pre-application questionnaire and click “submit” when finished. We will contact you for an interview if your qualifications match a current opening.

For which position are you applying?

Name:

Address:


City:

State:

 Zip:

Phone:

Email:

Please note your highest level of education.
(Please mark all that apply)
Associate Degree in Nursing (A.D.N.)
Bachelor of Science in Nursing (B.S.N.)
Master of Science in Nursing (M.S.N.)
Bachelors Degree in Respiratory Therapy
Associates Degree in Respiratory Therapy
Technical Degree in Respiratory Therapy
Other Associates Degree
       (specify field)
Other Bachelors Degree
       (specify field)
High School Diploma or G.E.D.

Please enter or cut and paste your work experience from your resume in the box below:

Please add any additional information that pertains to your qualifications for the job for which you are applying:

How did you hear about us?
(Please mark all that apply)
Radio advertisement on WARM 106.9
Radio advertisement on Smooth Jazz 98.9
The News Tribune (Tacoma)
Nurseweek Career Fair
NWjobs.com (Seattle Times website)
School career fair
Direct mail postcard
Internet search
Referral from an employee at The Regional Hospital
Referral from a friend

 
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