Home   Follow us on Facebook
  Appointments
 
  Payment Options
 
  Services
 
  Our Hours
 
  Directions
 
  Providers
 
  About Us
 
  Employment
 
  Volunteer
 
In The News
 
  Donations
 
  Provider Blog
 
 
 
Apply Online
 
Required fields are in red.
  General Information
  Position Sought
  First Name: Last Name:
  Present Address:
Street: City:
State: Zip:
 
  Previous Address:
Street: City:
State: Zip:
  Current Telephone:
  If you are presently employed may we contact your employer? Yes No
  Are you eligible to work in the US? Yes   No
  Salary Expected: Date Available:
  Person to Contact In Case of Emergency
  Name: Address:
  Day Phone: Night Phone:
  Referral Source (e.g., newspaper, school, walk-in, current employee - be specific)
Have you ever applied to or worked at the Center? Yes   No
  Position: Dates:
  Are there any limitations to your work hours? Yes   No
  If yes please explain:
Will you work evenings if necessary? Yes   No
Will you work Saturday/Sunday if necessary? Yes   No
  Upon offer of employment, would you be willing to submit to a national background check? (Convictions will not necessarily exclude you from employment, but will be reviewed in light of circumstances, including date and nature of violation) Yes No
  CHC is a drug-free workplace. Upon offer of employment, would you be willing to submit to a drug screen? Yes No
  Relatives Employed by the Center
  Name: Relationship:
  Education
  High School
  Name of School: City & State:
  Course of Study: Last year completed:
  Diploma/Degree: Grade Avg.
  College
  Name of School: City & State:
  Course of Study: Last year completed:
  Diploma/Degree: Grade Avg.
  Post - Graduate
  Name of School: City & State:
  Course of Study: Last year completed:
  Diploma/Degree: Grade Avg.
  Other
  Name of School: City & State:
  Course of Study: Last year completed:
  Diploma/Degree: Grade Avg.
  Extracurricular activities: (exclude activities relating to race, religion, national origin, gender, age, or disability)
  Leadership Positions Held: (exclude activities relating to race, religion, national origin, gender, age, or disability)
  Military Experience
  Service Branch: Dates:
  Rank at Discharge: Type of Discharge:
  Skills Acquired:
  Business Experience
  Present or Most Current Employer
  Employer: From: To:
  Street Address: Telephone:
  City: State: Zip Code:
  Wage/Salary: Your Position:
  Reason for Leaving:
  Previous Employer
  Employer: From: To:
  Street Address: Telephone:
  City: State: Zip Code:
  Wage/Salary: Your Position:
  Reason for Leaving:
  Previous Employer
  Employer: From: To:
  Street Address: Telephone:
  City: State: Zip Code:
  Wage/Salary: Your Position:
  Reason for Leaving:
  Previous Employer
  Employer: From: To:
  Street Address: Telephone:
  City: State: Zip Code:
  Wage/Salary: Your Position:
  Reason for Leaving:
  Present or Most Current Employer
  Employer: From: To:
  Street Address: Telephone:
  City: State: Zip Code:
  Wage/Salary: Your Position:
  Reason for Leaving:
  Have you ever been discharged or asked to resign from any position? Yes   No
  If yes please explain:
  Please explain all periods of unemployment:
  Do you have any other job that you would expect to continue if employed here? Yes   No
  If yes please explain:
  Please list any other businesses or companies in which you are involved or have financial interest:  
  Please list any business skills (computer, bilingual, etc.):  
  Personal References
  List four individuals who can discuss your work and job performance.
  Name: Company:
  Phone:    
  Name: Company:
  Phone:    
  Name: Company:
  Phone:    
  Name: Company:
  Phone:    

Acknowledgment - Read Carefully

Upload resume with application:
 
 
Return to Employment
  Community Healthcare Center
  200 Martin Luther King Jr. Blvd.
  Wichita Falls, Texas
  76301
 
  CHC - Juarez Medical Clinic
  1000A Juarez St.
  Wichita Falls, Texas
  76301
 
  (940) 766-6306
   
 
  Mailing Address:
  P.O. Box 720
  Wichita Fall, Texas
  76307-0720
 
  Records Fax: (940) 766-6504
   
 
Se habla español
  www.chcwf.com Contact Us      FAQs      Photo Credits

Please consider leaving a charitable bequest to Community Healthcare Center in your will.
©2008 Community Healthcare Center of Wichita Falls. All rights reserved.