Physician – Eminence, MO

• Graduate of an accredited school of medicine and licensed as a physician in the State of Missouri
• Experience in practice and in serving patients from low-income economic status.
• Board-certified or Board Eligible
• BLS (Basic Life Support)
• Active or Associate privileges at a local hospital.

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Employment History #1 - Job Title

Employment History #1 - Hourly Rate

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Employment History #1 - Dates of Employment

Employment History #1 - Reason for Leaving

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Employment History #2 - Job Title

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Employment History #2 - Employer

Employment History #2 - Employer Contact Information (Please include the following; Email, Address, Phone Number)

Employment History #2 - Dates of Employment

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Employment History #3 - Job Title

Employment History #3 - Hourly Rate

Employment History #3 - Employer

Employment History #3 - Employer Contact Information (Please include the following; Email, Address, Phone Number)

Employment History #3 - Dates of Employment

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Employment History #3 - Job Duties Performed

College Education (Please include the following; School Name, Diploma/Degree Earned, Dates)

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I certify that answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment, as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time, not to exceed 45 days. Any applicant wishing to be considered for employment after this time period should inquired as to whether or not application(s) are being accepted at this time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an ‘at will’ nature, which means that the employee may resign at any time and the employer may discharge employee at any time with or without cause. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand that I am required to abide by all rules and regulations of the employer.