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Clinical Referral Liaison - PRN
To submit your application, please complete these steps. Fields marked with a red asterisk (*) are required.

Email Registration

Your email address will be used as your login name allowing you to return to our website to update your profile.

If you are a returning applicant, please sign in or reset your password using the Login button.

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Use your resume to fill in many of the fields on this application form.

Personal Information

How did you hear about us?

If you were referred by a Sheltering Arms Institute employee, please provide their name.

Additional Information

Desired Employment Type

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Unit Preference

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Desired Shift(s)

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Are you over 18 years of age?

Are you legally eligible to work in the United States?

Do you now, or will you in the future, require sponsorship to work in the US?

Other than a parking ticket, have you ever been convicted of a crime? If Yes, please provide date, location and explain.

Have you ever been excluded from participation in Medicare, Medicaid or another Federal Health Care Program? If Yes, please provide offense, date and explain.

OIG is required by law to exclude from participation in all Federal health care programs individuals and entities convicted of the following types of criminal offenses: Medicare or Medicaid fraud, as well as any other offenses related to the delivery of items or services under Medicare, Medicaid, SCHIP, or other State health care programs; patient abuse or neglect; felony convictions for other health care-related fraud, theft, or other financial misconduct; and felony convictions relating to unlawful manufacture, distribution, prescription, or dispensing of controlled substances.

Please list any special training or skills (Professional Memberships, Languages, etc.)

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Cover Letter

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Attachments

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Employment History

Please include at least three instances of employment history if possible.

Responsibilities and Duties

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Education History

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Certificates and Licenses

Please include all applicable licenses, including out of state licenses.

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Candidate Sign Off

I certify that the information provided in this Application for Employment is true and correct, and that no attempt has been made to conceal pertinent information. I understand that all statements made are open to investigation by Sheltering Arms Institute, and that if any information is found to be false or misleading, will subject me to dismissal at anytime during the period of my employment, and I agree to hold Sheltering Arms Institute and persons named herein blameless in that event. I agree that if I am offered a job, I will submit to a physical examination, including drug screening, and a criminal history background check, and that my employment will be conditioned upon the results. Further, I understand and agree that my employment is for no definite period of time and may be terminated at any time by the company.

Application Review