Employment Application

It is the policy of this facility to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, or any other reason prohibited by law.

You may also download this application, fill it out and email it to: hr@ehrc.health or admin@ehrc.health.

Download a pdf of the Employment Application.


  • This is not a secured form.
  • If you have lived at the above address less than 12 months, list previous address:

    (Proof of citizenship or right to work status will be required at time of hire.)
  • (The existence of a conviction or the pending charge will not necessarily preclude you from employment; the nature of the crime and its relationship to the position applied for, the degree of rehabilitation of the applicant and the time elapsed since the crime or release from confinement will all be considered.