If you are experiencing a medical emergency, please DIAL 911 or go to your nearest emergency room.

Milford Memorial Hospital Application for Employment

We consider application for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation or any other status legally protected.

Contact Information

If you are under the age of 18 years, can you provide required proof of your eligibility to work? *
Have you filed an application with Milford Memorial Hospital before? *
Have you been employed with us before? *
Are you currently employed? *
May we contact your current employer? *
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status? *
For what shifts would you be able to work? *
(check all that apply)
Are you currently on “lay-off” status and subject to recall? *
Are you able to travel if the position requires? *
Have you been convicted of a felony within the last seven years? *
Conviction will not necessarily disqualify an applicant from employment

Employment Experience

We will check employment references

First Previous or Present Employer

Second Previous Employer

Third Previous Employer

Fourth Previous Employer

Education

Did you graduate from high school? *
Did You Graduate?
Did You Graduate?
Please describe any specialized training, apprenticeships, skills or job related organizations or activities. Please describe any job-related training received in military if applicable:

Language Proficiency

Proficiency *
Skills *
Proficiency
Skills

Additional Information

Are you capable of performing in a reasonable manner, the activities involved in the job or occupation for which you have applied? *

References (not related)

Applicant’s Statement *

I certify that answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision, including contacting all employment and character references provided.

I understand that this application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the employee may resign at any time and the employer may discharge the employee at any time with or without cause. It is further understood that this “at will” employment may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by the Administrator of Milford Memorial Hospital.

In the event of employment, I understand that false or misleading information given in my application or interview(s) my result in discharge. I also understand that I am required to abide by all rules and regulations of Milford Memorial Hospital.

If you are experiencing a medical emergency, please DIAL 911 or go to your nearest emergency room.

850 N Main St, Milford, UT 84751
Phone: (435) 387-2411

Price Transparency

© 2025 Milford Memorial Hospital