Careers - Southwest Lincoln Surgery Center

If you are ready to take on the challenges and rewards that come with being a part of a fast-growing, fully accredited ambulatory surgical center, then you are ready for an exciting career at Southwest Lincoln Surgery Center. Apply today to become an employee at our free-standing, multispecialty surgery center.

If you have an interest in joining our team, please contact us at info@swlincolnsurgerycenter.com or complete the full Employment Application below.

Southwest Lincoln Surgery Center is an Equal Opportunity Employer.

Name
First Last
Email
Salary expectations
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
If you are under 18 years of age, please specify your age.
This information will be used only for child labor law purposes.
Are there any days, shifts or hours you will not work?
- Yes
- No
If yes, please explain.
Are you available for out of town work?
- Yes
- No
Will you work overtime, if required?
- Yes
- No
When will you be able to start work?
Have you ever been convicted of a felony?
- Yes
- No
Note: Answering “yes” does not automatically exclude you from further consideration for the position.
If yes, please explain.
Have you ever plead guilty or no contest to a felony charge?
- Yes
- No
Note: Answering “yes” does not automatically exclude you from further consideration for the position.
If yes, please explain.
How did you learn about Southwest Lincoln Surgery Center?
If referral, who you were referred by?
Have you ever applied or worked at Southwest Lincoln Surgery Center before?
- Yes
- No
If yes, provide dates.
Are you legally authorized to work in the United States?
- Yes
- No
Will you now or in the future require sponsorship for employment visa status (e.g.,H-1B visa status)?
- Yes
- No
Note: The Federal Immigration and Reform and Control Act of 1986 requires that a DHS Employment Eligibility Verification “Form I-9” be completed for every new hire and that within 3 business days of beginning work every new hire must present to the employer documentation establishing his/her identity and authorization to work. This federal requirement must be satisfied as a condition of employment.
Education
Describe any educational degrees, skills, training or experience you believe are relevant to the job applied for:
High School
Name, City, and State of Educational Institution Type of Degree Major Minor Did you graduate/ GPA
College or University
Name, City, and State of Educational Institution Type of Degree Major Minor Did you graduate/ GPA
Technical/ GED
Name, City, and State of Educational Institution Type of Degree Major Minor Did you graduate/ GPA
Licenses/ Certifications/ Other
Name, City, and State of Educational Institution Type of Degree Major Minor Did you graduate/ GPA
Employment History
Please complete for all full-time or part-time employment beginning with most recent employer. You may include as part of your employment history any verified work performed on a volunteer basis. All applicants should start with their most recent job, include active military assignments and voluntary employment and provide ten (10) years of history. (A separate sheet may be attached.) You must explain any gaps in your employment history.
Previous Employer 1
Company name Address Telephone Name of Supervisor May we contact?
Job titles and duties Reasons for leaving Dates employed Rate of pay at start Rate of pay at end
Previous Employer 2
Company name Address Telephone Name of Supervisor May we contact?
Job titles and duties Reasons for leaving Dates employed Rate of pay at start Rate of pay at end
Previous Employer 3
Company name Address Telephone Name of Supervisor May we contact?
Job titles and duties Reasons for leaving Dates employed Rate of pay at start Rate of pay at end
Previous Employer 4
Company name Address Telephone Name of Supervisor May we contact?
Job titles and duties Reasons for leaving Dates employed Rate of pay at start Rate of pay at end
Please explain any gaps in your employment history:
Have you ever been discharged or forced to resign?
- Yes
- No
If yes, please explain:
Did you receive any discipline in your last 12 months of active employment with your previous employer?
- Yes
- No
If yes, please explain:
Were you given a performance evaluation within the last 12 months of active employment?
- Yes
- No
If yes, what was the range of scores used and what was your score?
Have you signed any non-competition or non-solicitation agreement with any other employer that might restrict you from working for Southwest Lincoln Surgery Center (you may be required to furnish a copy of the agreement)?
- Yes
- No
If yes, please explain:
References
(Please list three persons not related to you who know your qualifications.)
Reference 1
Name Address Phone Relationship
Reference 2
Name Address Phone Relationship
Reference 3
Name Address Phone Relationship
Military
(Complete only if you served in the military.)
Branch of Service Number of Years /Months of Service Rank at Discharge Date of Discharge
Reason for Leaving
Describe any military skills, training or experience you believe are relevant to the job you applied for
Applicant's Acknowledgement
I certify that the answers given herein (including but not limited to the Criminal and Additional Driver Record Information Supplement and Commercial Motor Vehicle Driver Supplement if applicable) are true and complete to the best of my knowledge. I understand that any misrepresentations, omissions of facts or incomplete answers in any application document may disqualify me from further consideration for employment. I further understand that, if employed, any misrepresentations or omissions of facts in any application document may be cause for my dismissal at any time without prior notice. I consent to and authorize the Company to contact my former employers, references, and any and all other persons and organizations for information bearing upon my qualifications for employment. I further authorize the listed employers, schools and personal references to give the Company (without further notice to me) any and all information about my previous employment and education, along with any other pertinent information they may have and hereby waive any actions which I may have against either party(ies) for providing a good faith reference. I EXPRESSLY AGREE AND UNDERSTAND THAT, IF EMPLOYED, MY EMPLOYMENT IS NOT FOR A SPECIFIC TERM, IS BASED ON MUTUAL CONSENT AND MAY BE TERMINATED BY ME OR THE COMPANY WITH OR WITHOUT NOTICE OR CAUSE AT ANY TIME. I FURTHER UNDERSTAND THAT NO ORAL PROMISE, EMPLOYER POLICY, CUSTOM, BUSINESS PRACTICE OR OTHER PROCEDURE (INCLUDING THE BASIC EMPLOYMENT POLICIES, PERSONNEL HANDBOOK OR ANY PERSONNEL MANUALS) CONSTITUTES AN EMPLOYMENT CONTRACT OR MODIFICATION OF THE AT-WILL EMPLOYMENT RELATIONSHIP BETWEEN ME AND THE COMPANY. I ALSO UNDERSTAND THAT THIS ASPECT OF MY EMPLOYMENT WITH THE COMPANY MAY ONLY BE ALTERED WITH A WRITTEN AUTHORIZATION SIGNED BY THE CHIEF EXECUTIVE OFFICER OF THE COMPANY, AND THAT MY AT-WILL STATUS WITH THE COMPANY MAY NOT BE ALTERED. I understand that applicants for certain positions may be required to qualify for employment based on additional employment criteria. For example, I may be required to take job-related tests; take a driver’s examination; submit to a background investigation or take a pre-employment drug test. If I am offered employment or start work before any required test is completed, my employment is contingent on a satisfactory result on all required tests. I authorize the release of any background check results and of any drug/alcohol test to any state or federal authority requesting such information and in response to a valid subpoena or other legal document.
Please type your name here to acknowledge you have read and understood this notice.
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Education

Employment History

References

Military

Applicant's Acknowledgement