ࡱ> !` >pbjbj\\ 8>>,S 6668n zD ;l6#6#6#+,Z)02 : : : : : : :$;hb>/:5,",55/:6#++:8885X6#+ :85 :8886#L BS&D66p859:0;8>6>88>8` 33^83L;4 3 3 3/:/:i8X 3 3 3;5555          Date Completed:  FORMTEXT       PERSONAL INFORMATION (Please complete all items) Name:  FORMTEXT       SSN:  FORMTEXT       Telephone Number (or other means of contact):  FORMTEXT       Are you 18 years of age or older? Yes  FORMCHECKBOX  No  FORMCHECKBOX  Are you a U.S. citizen? Yes  FORMCHECKBOX  No  FORMCHECKBOX  If not, are you an alien who is authorized to work in the United States? Yes  FORMCHECKBOX  No  FORMCHECKBOX   INCLUDEPICTURE \d "D:\\OIP\\clip_image001.gif" \* MERGEFORMATINET  General Information Position or type of work desired:  FORMTEXT       Date available:  FORMTEXT       Salary Desired:  FORMTEXT       Previously employed by OIP? Yes  FORMCHECKBOX  No  FORMCHECKBOX  Have you ever been convicted of a crime? Yes  FORMCHECKBOX  No  FORMCHECKBOX  If yes, when and for what reason?  FORMTEXT        INCLUDEPICTURE \d "D:\\OIP\\clip_image001.gif" \* MERGEFORMATINET  Educational Background Name and location of school last attended: Name:  FORMTEXT       Location:  FORMTEXT       Dates attended: From:  FORMTEXT       To:  FORMTEXT       GPA:  FORMTEXT       Name and location of college or other schools attended: Name:  FORMTEXT       Location:  FORMTEXT       Dates:  FORMTEXT       GPA:  FORMTEXT       Major:  FORMTEXT       Degree:  FORMTEXT       Name:  FORMTEXT       Location:  FORMTEXT       Dates:  FORMTEXT       GPA:  FORMTEXT       Major:  FORMTEXT       Degree:  FORMTEXT       Name:  FORMTEXT       Location:  FORMTEXT       Dates:  FORMTEXT       GPA:  FORMTEXT       Major:  FORMTEXT       Degree:  FORMTEXT       Name:  FORMTEXT       Location:  FORMTEXT       Dates:  FORMTEXT       GPA:  FORMTEXT       Major:  FORMTEXT       Degree:  FORMTEXT        INCLUDEPICTURE \d "D:\\OIP\\clip_image003.gif" \* MERGEFORMATINET  Military Experience Branch of U.S. Military: USN  FORMCHECKBOX  USMC  FORMCHECKBOX  USA  FORMCHECKBOX  USCG  FORMCHECKBOX  National Guard  FORMCHECKBOX  Rank at Discharge  FORMTEXT       Active Duty Entry Date:  FORMTEXT       Date of Discharge  FORMTEXT       Training or Specialty:  FORMTEXT        INCLUDEPICTURE \d "D:\\OIP\\clip_image002_0000.gif" \* MERGEFORMATINET  References: List three Supervisors, Instructors or individuals who can evaluate your work performance (no relatives please) NameAddress Telephone No. 1. FORMTEXT       FORMTEXT       FORMTEXT      2. FORMTEXT       FORMTEXT       FORMTEXT      3. FORMTEXT       FORMTEXT       FORMTEXT       INCLUDEPICTURE \d "D:\\OIP\\clip_image003_0000.gif" \* MERGEFORMATINET  Employment History (List last or present employer first) Employer #1 Name & Address  FORMTEXT       Job Title & Responsibilities  FORMTEXT       From:  FORMTEXT       To:  FORMTEXT       Supervisor's Name:  FORMTEXT       Phone Number:  FORMTEXT       Salary:  FORMTEXT       Reason for Leaving:  FORMTEXT  $&:<>HJLvðјё~k`OC/O&jth+h >*CJUaJh+h#6k>*CJaJ jh+h#6k>*CJUaJh+h CJaJ$h+h 0JCJOJQJ^JaJ$h+h 0JCJOJQJ^JaJ h+h /jh+0J5>*CJU\aJmHnHu$jh+h 5>*U\h+0J5>*CJ\aJ$jh+0J5>*CJU\aJh+h 0J5\h+h 0J5CJ\aJL  _  2  V 6 NtN ed1Ugd#6ked1Ued1Ued1Uo*CJUaJmHnHu&jrh+h >*CJUaJh+>*CJaJjh+>*CJUaJ%jh >*CJUaJmHnHu&jh h >*CJUaJh >*CJaJjh >*CJUaJh+h CJaJh+h#6kCJaJ jh+h#6k>*CJUaJ+jh+h#6k>*CJUaJmHnHu       8 9 G H I J M N \ ] ^ ӶӤӒȊxӊf#jDh+h CJUaJ#jh+h CJUaJh+CJaJ#j\h+h CJUaJ#jh+h CJUaJ#jth+h CJUaJh+h CJaJh+h#6kCJaJjh+h#6kCJUaJ#jh+h CJUaJ"      1 T U _ ` . 0 D F H R T v x 帬tkWtDt帬%jh+>*CJUaJmHnHu&jh+h >*CJUaJh+>*CJaJjh+>*CJUaJ+jh+h#6k>*CJUaJmHnHu&jh+h >*CJUaJh+h#6k>*CJaJ jh+h#6k>*CJUaJh+h 0JCJaJjh+h#6kCJUaJh+h CJaJjh+h CJUaJ      0 2 4 ۺ{iW#jh+h CJUaJ#j]h+h CJUaJ#jh+h CJUaJh+h#6kCJaJjh+h#6kCJUaJh+CJaJh+hS$CJaJh+h CJaJ+jh+h#6k>*CJUaJmHnHu jh+h#6k>*CJUaJ&juh+h >*CJUaJ "&(<>@JLNP˺{lalRlF9h+h 0JCJaJh+hJ1>*CJaJj/ h+hJ1CJUaJh+hJ1CJaJjh+hJ1CJUaJh >*CJaJ+jh+h#6k>*CJUaJmHnHu&jh+h >*CJUaJh+h#6k>*CJaJ jh+h#6k>*CJUaJh+CJaJh+h CJaJjh+h#6kCJUaJ#jEh+h CJUaJfrt&(*24̖̖tkWtDtt%jh+>*CJUaJmHnHu&j h+h >*CJUaJh+>*CJaJjh+>*CJUaJ&jx h+h >*CJUaJ+jh+h#6k>*CJUaJmHnHu&j h+h >*CJUaJh+h#6k>*CJaJ jh+h#6k>*CJUaJh+h#6kCJaJh+h CJaJh+h >*CJaJ4HJLVX\fh|~ $&(24Զzd\P*CJUaJh+h >*CJaJhJ1CJaJ+jh+h#6k>*CJUaJmHnHu&j h+h >*CJUaJh+h#6k>*CJaJ jh+h#6k>*CJUaJh+h CJaJh+h#6kCJaJ%jh+>*CJUaJmHnHujh+>*CJUaJ&jd h+h >*CJUaJh+>*CJaJ46LNbdfpr&(<׭ע׭z׭f׭&j(h+h >*CJUaJ&j h+h >*CJUaJ&j< h+h >*CJUaJh+h CJaJ+jh+h#6k>*CJUaJmHnHu&j h+h >*CJUaJ jh+h#6k>*CJUaJh+h#6kCJaJh+h#6k>*CJaJ$<>@JLNVZ\prt~ۺۣۣۣ{ۯۣgۯۣS&jvh+h#6k>*CJUaJ&jh+h#6k>*CJUaJ&jh+h#6k>*CJUaJ&jh+h#6k>*CJUaJh+h#6k>*CJaJh+h#6kCJaJh+h CJaJ+jh+h#6k>*CJUaJmHnHu jh+h#6k>*CJUaJ&jh+h >*CJUaJ $&8:NPR\^`rt 0®š†r&jNh+h#6k>*CJUaJ&jh+h#6k>*CJUaJ&jbh+h#6k>*CJUaJ&jh+h#6k>*CJUaJh+h#6k>*CJaJh+h#6kCJaJ+jh+h#6k>*CJUaJmHnHu jh+h#6k>*CJUaJ%024>@LNbdfpr  0ۺۮۺۮۮۮrۺۮ^ۮ&jh+h#6k>*CJUaJ&j&h+h#6k>*CJUaJ&jh+h#6k>*CJUaJ&j:h+h#6k>*CJUaJh+h#6k>*CJaJh+h#6kCJaJ+jh+h#6k>*CJUaJmHnHu jh+h#6k>*CJUaJ&jh+h#6k>*CJUaJ$02FHJTVfh|~   "$.02r^&jh+h#6k>*CJUaJ&jth+h#6k>*CJUaJ&jh+h#6k>*CJUaJ&jh+h#6k>*CJUaJh+h#6kCJaJ+jh+h#6k>*CJUaJmHnHu&jh+h#6k>*CJUaJh+h#6k>*CJaJ jh+h#6k>*CJUaJ$X2h d > $Ifgd+ed1Ued1Ugd#6k 268,.JLNPZ\xz|~zr`#jh+h CJUaJhJ1CJaJ#j!h+h CJUaJ#jh+h CJUaJ#j5h+h CJUaJh+h#6kCJaJjh+h#6kCJUaJh+h 0JCJaJj`h+h#6kCJUaJjh+h CJUaJh+h CJaJ#@BVXZdf¶Œ~ua~N~C~uh+h#6kCJaJ%jh >*CJUaJmHnHu&jh h >*CJUaJh >*CJaJjh >*CJUaJ+jh+h#6k>*CJUaJmHnHu&jh+h >*CJUaJh+h#6k>*CJaJ jh+h#6k>*CJUaJh+h CJaJjh+h#6kCJUaJ#j h+h CJUaJ 8<>RTV`bdfn__P_H;h+h 0JCJaJhR9$CJaJj[h+h#6kCJUaJjh+h CJUaJ+jh+h#6k>*CJUaJmHnHu&jh+h >*CJUaJh+h#6k>*CJaJ jh+h#6k>*CJUaJh+h#6kCJaJh+h CJaJ%jh >*CJUaJmHnHujh >*CJUaJ&joh h >*CJUaJ   <@FH\^`jlnp¯seOse*jVh+h >*OJQJU^Jh+h >*OJQJ^J/jh+h#6k>*OJQJU^JmHnHu*jh+h >*OJQJU^Jh+h#6k>*OJQJ^J$jh+h#6k>*OJQJU^Jh+h OJQJ^Jh+h 0JCJaJ h+h hc3CJaJh+h CJaJhc30JCJaJ>@Fn$Ifukd?$$Ifed1U\JKf0JZf0634ait1U,.0:<>@F׿ױ׏y׿ױ׏c׿ױ׏M׿ױ*j h+h >*OJQJU^J*jM h+h >*OJQJU^J*jh+h >*OJQJU^Jh+h#6k>*OJQJ^Jh+h OJQJ^J h+h h+h >*OJQJ^J/jh+h#6k>*OJQJU^JmHnHu$jh+h#6k>*OJQJU^J*jh+h >*OJQJU^J>$IfwkdB$$Ifed1U\JKf0f0634ait1U>@Fn$Ifwkd9!$$Ifed1U\JKf0f0634ait1UFH\^`jlnpTVXZߍwpaVaGaj#h+h#6kCJUaJh+h CJaJjh+h CJUaJ h+h *j"h+h >*OJQJU^J*jD"h+h >*OJQJU^Jh+h >*OJQJ^J/jh+h#6k>*OJQJU^JmHnHu*j!h+h >*OJQJU^Jh+h#6k>*OJQJ^J$jh+h#6k>*OJQJU^J\.FZpZZ[\T\zzzzzed1Ugd#6ked1Uwkd0#$$Ifed1U\JKf0f0634ait1U Z\ *,hj~̖݅yeOA8h >*CJaJjh >*CJUaJ+jh+h#6k5CJUaJmHnHu&j%h+h 5CJUaJh+h#6k5CJaJ jh+h#6k5CJUaJ+jh+h#6k>*CJUaJmHnHu&j$h+h >*CJUaJh+h#6k>*CJaJ jh+h#6k>*CJUaJh+h CJaJh+h 0JCJaJh+h+CJaJ 468BDbdxެތ{g{Q{ެ+jh+h#6k>*CJUaJmHnHu&j&h+h >*CJUaJ jh+h#6k>*CJUaJh+h#6k>*CJaJ&j &h+h >*CJUaJh >*CJaJh+h CJaJh+h#6kCJaJ%jh >*CJUaJmHnHujh >*CJUaJ&j%h+h >*CJUaJxz| ZZZZZZ(Z*ZHZJZ^ZnlXnKh+h 0JCJaJ&j'h+h >*CJUaJU+jh+h#6k>*CJUaJmHnHu&j'h+h >*CJUaJh+h#6k>*CJaJ jh+h#6k>*CJUaJh+h CJaJh+h#6kCJaJ%jh >*CJUaJmHnHujh >*CJUaJ&j&h h >*CJUaJ      Employer #2 Name & Address  FORMTEXT       Job Title & Responsibilities  FORMTEXT       From:  FORMTEXT       To:  FORMTEXT       Supervisor's Name:  FORMTEXT       Phone Number:  FORMTEXT       Salary:  FORMTEXT       Reason for Leaving:  FORMTEXT       Employer #3 Name & Address  FORMTEXT       Job Title & Responsibilities  FORMTEXT       From:  FORMTEXT       To:  FORMTEXT       Supervisor's Name:  FORMTEXT       Phone Number:  FORMTEXT       Salary:  FORMTEXT       Reason for Leaving:  FORMTEXT       Have you ever been discharged from a job? Yes  FORMCHECKBOX  No  FORMCHECKBOX  If yes, please explain fully:  FORMTEXT        INCLUDEPICTURE \d "D:\\OIP\\clip_image001.gif" \* MERGEFORMATINET  Professional licenses and/or Certificates Type:  FORMTEXT       State Issued:  FORMTEXT       Date Issued:  FORMTEXT       Expires:  FORMTEXT       Type:  FORMTEXT       State Issued:  FORMTEXT       Date Issued:  FORMTEXT       Expires:  FORMTEXT       Type:  FORMTEXT       State Issued:  FORMTEXT       Date Issued:  FORMTEXT       Expires:  FORMTEXT       Please read carefully before signing. I hereby certify that the information contained in this application is true and complete. I understand and agree that any false information or concealment of fact will automatically result in rejection of this application or discharge if discovered subsequent to my employment. I understand and agree that all information furnished in this application may be verified by Orthopedic Institute of Pennsylvania. I also understand that any employment is subject to satisfactory check of references. I hereby authorize all individuals and organization named or referred to give Orthopedic Institute of Pennsylvanian all information relative to my employment, work habits, and character and hereby release the individuals, organization and Orthopedic Institute of Pennsylvania from any liability for any claim or damage which may result. I further understand that this application is not intended to be a contract of employment nor does this application obligate the employee in any way if the employer decides to employ me. Signature of Applicant: Date:  FORMTEXT       All employment practices at Orthopedic Institute of Pennsylvania are strictly based upon the qualification of the individual as related to the work requirement of the job. This criteria is utilized without regard to sex, race, color, religion, national origin, ancestry, age, physical handicap, marital status, veteran's status or any other irrelevant factors. Orthopedic Institute of Pennsylvania is an Equal Opportunity Employer.     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