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Online Employment Application

In order to be considered for employment, all sections of the applications must be completed. Those applicants requiring reasonable accommodations to the application and/or interview process should notify the Human Resources Department.

As a condition of employment, you will be required to produce original documents establishing your identity and authorization to work.

  • Applicant Information

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  • Education

  • Professional Licenses/Certifictions

  • Skills and Qualifications

    Summarize any other special training, skills, licenses and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying.
  • Professional References

    List only work related individuals.
  • Previous Employment - Please complete each section. Do not “Refer to Resume”.

    Please list your current (if applicable) and previous employers starting with the most current, not to exceed 20 years. Be sure to include self-employment, volunteer, and seasonal work. Attach additional sheets if needed. Explain any gaps in employment on the next page.
  • Military Service

  • Attachments

    A letter of interest and/or resume would be welcome additions to your application, but are not required.
  • Max. file size: 2 MB.
  • Max. file size: 2 MB.
  • Applicant's Certification and Agreement


    Grants Pass Clinic, LLP, the employer, does not discriminate in employment and no question in this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local, state or federal law.

    I understand that if I am employed, any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate discharge from the employer’s service, whenever discovered.

    I give the employer the right to contact and obtain information from all references, employers, educational institutions, and to otherwise verify the accuracy of the information contained in this application. I hereby release from liability the employer and its representatives for seeking, gathering, and using such information and all other persons, corporations, or organizations for furnishing such information.

    This application is current for only one (1) year. At the conclusion of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to complete a new application.

    If I am hired, I understand that I am free to resign at any time, with or without cause, and without prior notice. The employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no representative of the employer, other than an authorized officer, has the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and signed by an authorized officer.

    I understand it is this company’s policy not to refuse to hire a qualified individual with a disability because of that person’s need for a reasonable accommodation as required by the American with Disability Act (ADA).

    I understand that at the start of employment, a Form I-9 Employment Eligibility Verification must be completed, including required forms of identification.

    By submitting this application, I attest that I have read and fully understand the above disclaimer and seek employment under these conditions.

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