Clinic Receptionist

Nocona General Hospital is currently accepting applications for a Full-Time Clinic Receptionist for their Nocona Clinic.

Interested persons are invited to complete the online application, or send a resume:

Email:

• Name *
• Phone *
• Home Phone
• Email *
• Address
• Shift Preferred *
• 1 2 3 4 Any Not Applicable
• How were you referred to the company? *
• Type of work desired *
• Full-Time Part-Time Seasonal Temporary
• On what date would you be available for work? *
• Have you ever been employed here before? *
• Yes No
• If yes, give dates
• Do you have a legal right to be employed in the USA? *
• Yes No
• If you are under 18, can you provide a work permit if required? *
• Yes No NA
• DL#
• State

• Grad School Name and location
• Grad School Course of study
• Grad School Graduate?
• Yes No
• Grad School Degree or diploma

• College Name and location
• College Course of study
• College graduate?
• Yes No
• College Degree or diploma

• Grad Name and location
• Grad Course of study
• Grad School graduate?
• Yes No
• Grad Degree or diploma

• Vocational or Other Name and location
• Vocational or Other Course of study
• Vocational or Other graduate?
• Yes No
• Vocational or Other Degree or diploma

• Continuing Education? If any, list here
• Special training or skills (languages, machine operation, etc.) that would benefit you in the job for which you are applying:

• Name of Employer2
• Contact:
  If you do not want us to contact an employer2, mark accordingly.
• Yes No
• Employer2 Address
• Employer2 Position
• Employer2 Phone
• Employer2 Dates Employed from (mm/yy) to (mm/yy)
• Employer2 Hourly rate/salary: (starting and final)
• Employer2 Reason for Leaving

• Name of Employer3
• Contact:
  If you do not want us to contact an employer3, mark accordingly.
• Yes No
• Employer3 Address
• Employer3 Position
• Employer3 Phone
• Employer3 Dates Employed from (mm/yy) to (mm/yy)
• Employer3 Hourly rate/salary: (starting and final)
• Employer3 Reason for Leaving

• Name of Employer4
• Contact:
  If you do not want us to contact an employer4, mark accordingly.
• Yes No
• Employer4 Address
• Employer4 Position
• Employer4 Phone
• Employer4 Dates Employed from (mm/yy) to (mm/yy)
• Employer4 Hourly rate/salary: (starting and final)
• Employer4 Reason for Leaving