PMHNP Resident Employment Application Logo
  • PMHNP Resident Employment Application

    P.O. Box 960 | Bremerton, WA 98337

    Administrative Office [360] 475-6706 | Fax [360] 373-2096

    Email: hrassistants@pchsweb.org

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  • How did you learn of this position? Please specify below.

  • EDUCATION     Your name used while attending school if different from above.

  • Dates Attended: (Mo/Yr)

  • Dates Attended: (Mo/Yr)

  • Dates Attended: (Mo/Yr)

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  • LANGUAGE FLUENCY

  • Language type (# of years for R/W/S)
    1)                  

  • Language type (# of years for R/W/S)
    1)                  

  • EXPERIENCE List all work experience, including relevant volunteer experience.

  • JOB REQUIREMENTS

  • AUTHORIZATION AND CERTIFICATION

    I certify that to the best of my knowledge and belief, the answers given by me to the questions and the statements made in my application materials are true, complete and written solely by me. Should I be accepted for employment, I understand that any false or inaccurate information contained in my application materials may result in immediate discipline, up to and including termination of employment.

    I authorize Peninsula Community Health Services (PCHS) and/or its agents to conduct background investigations of my personal history, including current and past employment. This research may include, but is not limited to information obtained from employers, persons named as references, licensing departments, school officials, etc. Should PCHS first offer me employment that is conditioned upon the results of a "criminal background check, I hereby authorize PCHS to perform such a criminal background check on me and I also agree to provide PCHS with "criminal history record information, if so asked by PCHS. I release all parties providing such information from any liability for any loss or damage whatsoever resulting from providing such information. A photocopy, fax, or other kind of electronically transmitted copy of this certificate will be considered equally valid as the signed original.

    I understand that if I have ever worked for PCHS through a temporary placement services agency, I will be fully responsible for paying any and all agency fees that may apply for the position I accept with PCHS.

    I understand that if I am hired, I will be required to provide proof of identity, legal work authorization, and a copy of my degree and/or certification.

    I understand that employment at PCHS is "at will," which means that either I or PCHS can terminate employment for any reason not prohibited by law. I understand that no supervisor, manager, director or other representative of PCHS has any authority to alter the foregoing, except the Chief Executive Officer, who may do so in writing.

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  • SUPPLEMENT TO THE RESIDENT EMPLOYMENT APPLICATION

  • Applicants must submit the following in addition to the PCHS Resident Employment Application:

  • 1. Personal Statement addressing the following in 1,000 words or less.

    a. Why are you choosing a residency at Peninsula Community Health Services?

    b. Please describe your experience working with under-served and vulnerable populations.

    c. What are you hoping to achieve through a residency in psychiatry – what are your career goals?

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  • 2. A copy of your Curriculum Vitae (CV)

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  • 3. Three (3) letters of recommendation:

    One professional

    One academic

    One of your choice

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  • 4. ARNP transcript

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  • 5. ARNP Diploma and Certifications

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  • 6. Washington State License

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  • Should you have any questions, please submit them to:

    hrassistants@pchsweb.org

     

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