Online Application

Position Desired
First Name
Last Name
Email
Primary Phone Number
Secondary Phone Number
Address
Apartment #
City
State
Zip
Current (or most recent) Employer
Current (or most recent) Job Title
Current (or most recent) Compensation
May we contact your current employers?
Please list any employer(s) you do not wish us to contact
Have you have plead guilty or been convicted of a felony or misdemeanor?
A criminal conviction will not be necessarily a barrier to employment.
Please list the dates and offenses
Have you ever been employed by Kane Community Hospital or Hamot Medical Center before?
If yes, please list the dates employed, departments and previous names
If you have any first line relatives, or a spouse that works for KCH please list the name(s) and department(s) that they work in
Are you at least 18 years of age?
Education Completed
Licenses or Certifications
If you have a license, please list the State, Registration number and Expiration date
Salary Expectation Type

Salary Minimum
Shift Preference



You may also send a Cover Letter and Resume to

Marsha Keller, MBA, PHR
Senior Manager, Human Resources
Kane Community Hospital
4372 Route 6
Kane, PA 16735
mkeller@kanehospital.org

Several positions at the hospital require the fingerprint based FBI clearance www.pa.cogentid.com (select the Department of Public Welfare link) and the Act 33 Pennsylvania Child Abuse Clearance Pennsylvania Child Abuse History Clearance Form (CY-113).