INTERNAL JOB APPLICATION
Current Prairie Lakes employees, please use this form to apply for open positions. If you are not a current Prairie Lakes employee, please click on the link "Online Application" found on the employment webpage to apply for open positions.

This form is to be completed by the applicant.

* Denotes a required field
*Date:
*Position Applied For:
*Name:
*Employee Number:
*Current Position:
*Department:
*Phone:
*Have you discussed your application with your current supervisor? Yes
No
EDUCATION
Training/School
Degree/Diploma Date Completed
Other Related Courses (Please List):
Why are you applying for this position?
What skills do you possess that would help you to excel within this position?
How will this position help you attain your future career goals?
I hereby certify that the statements contained in this application are true and correct to the best of my knowledge and belief.

I hereby authorize Prairie Lake Healthcare System to contact, obtain, and verify the accuracy of information contained in this application from my current supervisor. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information.

I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancelation of this application.

I understand and agree to the above statements.
* Yes