Careers

Careers


240 Meeting House Lane
Southampton, NY 11968
(631) 726-8200


info@southamptonhospital.org


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Photography by Andreanna Seymore

                                  

Apply Today

Welcome to Southampton Hospital online resume submission form.

Please complete the following form with as much detail as possible. Paste your resume in the resume text box.

If you have questions about the Southampton Hospital Site, the applications system and process, you may contact HR. If you need an accommodation to complete this application process, you may write to us at the address listed below with your request. Please do not submit your resume via this address as you cannot be considered for employment opportunities unless your resume is processed by way of the Southampton Hospital website.

* Required fields.

General Information
Personal Information
* First Name:
* Last Name:
Middle Name:
* Have you ever worked under a
different name?		 Yes No
* Position applied for:
Contact Information
* E-Mail Address:
  (Check here if you do not have an email address)
* Home Phone: ( ) -
Work Phone: ( ) -
May we contact you at work? Yes No
Cellular Phone: ( ) -

Residence History
Current Residence
* Street Address:
Apartment/Unit:
* City:
* State:
Zip Code:
* Years lived at this location: From To
* Have you lived at this residence for seven years or more? Yes No

Additional Information
* Are you legally authorized to work in the USA? Yes No
* Are you presently a member of the National Guard or Reserve? Yes No
* Have you ever been convicted or plead guilty to a crime, i..e. a misdemeanor and / or a felony?
Yes No
Work Status:
Current Job Title:

Job Interest
Position applied for:
Department:
Wage or Salary desired: Annual Hour
 
* Shifts available to work (check all that apply)
Days Evenings Nights Weekends
 
* Type of employment available to work (check all that apply):
Full Time Part Time Per Diem Temporary
* Have you ever been employed by SHH before? Yes No
* Do you have any relatives working at SHH? Yes No

Referral Source
* Where did you hear about this opening?  

Professional Licenses and/or Certifications
Please indicate what professional licenses or certifications you may hold
 
Type:
  License/Certification:
State Issued:
Issuing Organization:
Expiration Date:
  Member/I.D./License Number:
If you require additional fields to provide professional licenses and/or certifications, click here.
Has your license ever been suspended / revoked in any state? Yes No
  If yes, please give details:


Employment History
List your last three employers, starting with the most recent
Most Recent/Current Employer
* Name of Employer:
* Job Title:
* Immediate Supervisor:
* Start Date:
* End Date:
Address:
* City:
* State:
Zip Code:
Main Phone:
* Current or last Rate of Pay: Hourly Annual
* Job Responsibilities:
* Reason for Leaving:
May we contact for a reference? Yes No
Previous Employer
Name of Employer:
Job Title:
Immediate Supervisor:
Start Date:
End Date:
Address:
City:
State:
Zip Code:
Main Phone:
Final Rate of Pay: Hourly Annual
Job Responsibilities:
Reason for Leaving:
May we contact for a reference? Yes No
Previous Employer
Name of Employer:
Job Title:
Immediate Supervisor:
Start Date:
End Date:
Address:
City:
State:
Zip Code:
Main Phone:
Final Rate of Pay: Hourly Annual
Job Responsibilities:
Reason for Leaving:
May we contact you for a reference? Yes No

Other Skills
* Are you proficient in any foreign language? Yes No

Education History
* Indicate highest education level achieved:
School Information
* Name of School:
* City:
* State:
* How long were you enrolled there?:
* Degree or Certification Achieved:
* Major or Field(s) of Concentration:
Other Field(s) of Concentration:
Scholastic Honors:
To record additional Education History, click here.

Resume
* Please attach your resume here:

Resume Submission and Application Policy* 

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the submitting applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for disciplinary action, up to and including immediate discharge, if I am employed, regardless of the time elapsed before discovery.

I hereby authorize Southampton Hospital and any of its affiliates to thoroughly investigate my references, work record, education or other matters related to my suitability for employment and, further, authorize my former employers to disclose to the hospital any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release Southampton Hospital and any of its affiliates, my former employers, and all persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

Southampton Hospital is an equal opportunity employer and will not discriminate on the basis of race, creed, religion, color, national origin, ancestry, age, sex, sexual orientation, marital status, disability, liability for service in the United States Armed Forces or any other legally protected status. The questions from the online application are not intended to be discriminatory in nature and applicants are not required to submit any information which could be used for discriminatory purposes.

I understand that if I receive an offer of employment, I will be required to undergo a post offer medical examination as prescribed by the Hospital. I understand that the employment offer can be withdrawn if the results of the medical examination reveal current illegal drug use, or that I may not be able to perform the essential job functions with or without reasonable accommodation and without endangering my own health and safety or the health and safety of others.

I Accept - I acknowledge that I have read, understand, and will comply with the above stated guidelines and requirements, and this indicates my consent and authorization for Southampton Hospital and its designated employees and consultants to collect and use the information I submit in being considered for potential employment by Southampton Hospital.

I Decline - Clicking here indicates that I do not consent to the above stated guidelines and requirements either in whole or in part. I understand that by selecting 'I Decline' will cause my application information to be deleted, and that I will in no way be considered for any opening, current or future.

Are you ready to submit your application? Yes No

Note: You may also apply BY FAX OR in person.
 
Southampton Hospital
 
 
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