Employment Application

  • Application Information

  • Education

  • References

    Please list three professional references.

  • Previous Employment

  • Military Service

  • Disclaimer and Signature

    I certify that my answers are true and complete to the best of my knowledge and the Clinics’ administration may confirm my employment eligibility with the entities listed. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I understand that Virginia is an at-will employment state and thus no offer of employment should be considered a permanent job.

  • Please enter your name, constituting a digital signature.
  • Latest Posts

    Vendor Registration Application, GLOW

    If you are interested in becoming a vendor…

    Thank You to our Premiere 2016 Gala Sponsors

    Premiere Gala Sponsors: Holtzman Oil & Holtzman Propane…

    Change effective March 1, 2016

    The Shenandoah Community Health Clinic will no longer…

    Need for Volunteers

    Shenandoah Community Health Clinic is always looking for…

  • Newsletter Signup