Welcome to Marshall Medical

MMC Online Application

Marshall Medical Centers offers a wide range of opportunities for an exciting career.

If contacted and considered to be a potentially qualified applicant, a comprehensive Application for Employement must be completed and signed.

It is a Medical Center policy to hire employees who are Drug Free and Tobacco Free. If offered employment, you will be required to provide specimens for drug and tobacco testing prior to employment and periodically thereafter. Test results are kept strictly confidential. If employed, your hiring will be conditional until the results of the drug and tobacco test are reported drug and tobacco-free. Any applicant who declines to provide a specimen for drug and tobacco testing will not be considered further for employment.

I understand that the facility reserves the right to require its employees to submit to blood tests, urinalyses, or other screenings for alcohol, drugs, or tobacco products, or to allow inspection of bags (including purses or briefcases) or parcels brought into or taken out of the facility. I understand that refusal to submit to a urinalysis or blood test or other screening, when requested to do so, may result in termination of my employment.

Compliance with this facility's Substance Abuse policies (alcohol, drugs, and tobacco products) is a condition of employment. This hospital requires that every newly hired employee be free of alcohol, drug abuse, and tobacco products. Each offer of employment is contingent upon successfully completing a urinalysis test/screen for alcohol, drugs, and tobacco products in accordance with hospital policy. Continued employment is also contingent upon compliance with the hospital's Alcohol, Drug Abuse, and Tobacco Products Policy. This institution follows the "fair employment practice code" and there is no discrimination in the hiring of individuals based on sex, race, religion, age or physical or mental handicap unrelated to ability to perform the work required.

Please Note: A willful misrepresentation or statement concerning tobacco use on the application for employment shall be deemed grounds for dismissal, if the Medical Center is informed during employment that the employee/applicant has not been truthful.


* Required Field
Personal Information

Today's Date: April 18, 2014

(Include Area Code: e.g. 123-456-7890)

If you cannot be reached at the above number where may we contact you?

(Include Area Code: e.g. 123-456-7890)

(Include Area Code: e.g. 123-456-7890)

(First Name, Last Name, Maiden Name)

NOTE: A conviction will not necessarily bar you from employment…

Employment Desired
Clinical Positions Only:

Secretarial, Industrial, Other Positions Only:

Professional Licenses and/or Certifications

Record of Education, Special Skills, Training, Equipment

School 1:

(5 digit zip)

School 2:

(5 digit zip)

School 3:

(5 digit zip)

School 4:

(5 digit zip)

School 5:

(5 digit zip)

Your Present and Previous Employment Record

List Your Employment Record Beginning with the Most Recent and Descending

Employer 1:

(5 digit zip)


(Include Area Code: e.g. 123-456-7890)

Employer 2:

(5 digit zip)


(Include Area Code: e.g. 123-456-7890)

Employer 3:

(5 digit zip)


(Include Area Code: e.g. 123-456-7890)

Employer 4:

(5 digit zip)


(Include Area Code: e.g. 123-456-7890)

Employer 5:

(5 digit zip)


(Include Area Code: e.g. 123-456-7890)

Personal References Please list three (3) personal references, not former employers or relatives you have known at least one year, including their name, occupation, address and phone number.
Reference 1:

(5 digit zip)

(Include Area Code: e.g. 123-456-7890)

Reference 2:

(5 digit zip)

(Include Area Code: e.g. 123-456-7890)

Reference 3:

(5 digit zip)

(Include Area Code: e.g. 123-456-7890)

Please read the following paragraphs in their entirety. You must agree with these terms before you can submit your application.

The facts set forth in my application for employment are true and complete. I understand that, if employed, false, misleading or incomplete statements on my application may result in immediate dismissal. I further understand that, if employed, my employment is at-will for an indefinite period and may be terminated at any time by the Medical Center or myself, with or without notice and with or without cause.

I understand that if offered employment, I will complete an employee health survey, which includes a pre-employment drug screen and determines if the essential functions can or cannot be performed. Employment is conditional until the result of the drug screen is reported drug and alcohol free.

I voluntarily give this institution the right to make a thorough investigation of my past employment and activities and agree to cooperate in such an investigation. I authorize my former employers to release information pertaining to work record, work habits and work performance while in their employ. They are hereby released from any and all liability as a result of providing such information to the Medical Center.

I further understand that the institution follows the "fair employment practice code" and there is no discrimination in the hiring of individuals based on sex, race, religion, age or physical or mental handicap unrelated to ability to perform the work required.


I agree to these terms


Our Vision Statement

Our Vision: To provide world-class healthcare with a personal touch.