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    WERE YOU PREVIOUSLY EMPLOYED BY RHC?

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    If you are under 18 years of age can you provide proof of your eligibility to work?

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    Are you either a U.S. Citizen or Alien who has the legal right to remain and work in the U.S.A.?

    *You will be required to furnish documents proving identity and eligibility to work in the U.S.A. if you are extended a job offer.

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    REQUESTED STATUS (Check all that interest you)

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    Please read the "NOTE" in the parenthesis below before answering the following questions.
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    Have you ever been convicted of a criminal offense (felony or misdemeanor)?

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    Have you ever entered any guilty pleas in a criminal offense (felony or misdemeanor)?

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    Please check the appropriate box related to your conviction.

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    Mention Another Crime Record

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    Please check the appropriate box related to your conviction.

    NOTE – A criminal conviction is not an automatic bar to employment with Rural Health. In evaluating the suitability and qualifications of an applicant who has been convicted of a crime(s), Rural Health will consider all relevant circumstances, including: (i) the period of time that has passed since the conviction; (ii) any evidence of rehabilitation; and (iii) the nature of the crime(s) of which the applicant has been convicted and the relationship, if any, between that crime(s) and the operations in which Rural Health engages. For purposes of this application, a conviction includes, but is not limited to, regardless of whether or not a sentence was imposed, a: (a) finding of guilt by a judge or jury; (b) entry of a guilty plea; (c) entry of a plea of “nolo contendre” or no contest; and (d) any Accelerated Rehabilitative Disposition (ARD) agreement, or any deferred judgment or deferred sentencing arrangement.

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