This electronic application does not contain necessary consents for reference
checks, verification of work experience and verification that all information
provided is true and complete. This requires your signature and is a part of
Lower Umpqua Hospital’s employment process. You may click
HERE to download this
authorization and mail it separately to Lower Umpqua Hospital or attach it to
the actual application. Or, once an interview has
been scheduled, you will be asked for such authorization in writing. If you are
unwilling to give written authorization for background and reference checks,
please exit this program now.
In addition, employment is made contingent upon the satisfactory
completion of all of the following:
If you are unwilling to submit to these screenings, please exit the program
now. If you are willing to sign the form and consent to the tests and
background check, please go HERE to fill out the online
application form.