Application

Kearney County Health Services Application

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  • Personal Information

    Disclose ALL misdemeanors and felonies (including Driving Under the Influence (DUI), Minor in Possession (MIP) but you may exclude minor traffic violations) NOTE: Omitting information or failure to disclose may disqualify you from consideration.

  • Education and Training Records

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  • Professional Licenses, Registrations and/or Certifications (RN, LPN, CNA, ARRT, ASCP, ETC.)

  • Employment Record

    List your present or most recent employer FIRST. Include U.S. Armed Forces experience. Account for ALL the time during the past 7 years including the period of unemployment. Include any unpaid work experience. (Attach additional pages as needed.) Omit reasons for leaving if for reasons of health or disability. Resumes are acceptable but may NOT be substituted for the following information.
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  • Skills

  • List Three Work References

    please do not list relatives.

  • Employee Agreement

  • I certify the information contained in this application for employment is true t the best of my knowledge and belief. I understand that any omission of facts or misrepresentation is cause for denial of employment and/or dismissal (if hired) regardless of when discovered. I grant permission for the authorities of Kearney County Health Services to investigate my work references and release them and any former employer from any and all liability resulting from such investigation. Upon my termination, I authorize the release of reference information on my work. I agree to submit to a post-offer physical, including drug and/or alcohol screening and recognize employment is contingent upon successfully meeting physical requirements. - 4 - I further agree that if I’ve been convicted of a crime, the authorities of Kearney County Health Services may obtain details of my conviction to determine its relationship to the position I’m applying for as a condition of my employment. In consideration of my employment, I agree to conform to the rules and regulations of Kearney County Health Services. My employment may be terminated, with or without cause, at any time, at the option of Kearney County Health Services or myself. Federal law requires evidence of identity and employment eligibility upon hire.
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Upcoming Events

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Health Care Insights

KCHS Now Offering Calcium Score Screening Heart CT Scan

Mar 25, 2025

Protect Your Heart: Calcium Score Screening Heart CT Scans Now Available at KCHS Kearney County Health Services (KCHS) is excited to introduce Calcium Score Screening Heart CT Scans, now available as a cash-pay service for just $115. This simple, noninvasive test...

Comprehensive Urology Services at KCHS

Mar 25, 2025

KEARNEY COUNTY HEALTH SERVICES Introduces Comprehensive Urology Services with Dr. Matthew Rutman Kearney County Health Services (KCHS) is pleased to announce the expansion of its specialty care offerings with the introduction of comprehensive urology services, now...

Contact

Address: 727 East 1st Street
Minden, NE 68959

Phone: 308-832-3400

Email: info@kchs.org

Additional Info

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