Adirondack Health Institute

Application For Employment

It is the policy of Adirondack Health Institute (“AHI”) to afford Equal Employment Opportunity (“EEO”) to all employees and applicants regardless of their race, color, religion, sex, age, national origin, disability, marital or domestic violence victim status, sexual orientation, gender identity, transgender status, genetic predisposition or carrier status, military or veteran status, familial status, known relation or association with any member of a protected class, or any other protected class, or any other protected characteristic as established by federal or state law and to conform to all applicable laws and regulations affecting all protected classes.

Please fill out the application completely. (If a section is not applicable to the job for which you are applying, please write “N/A.”). The organization is relying on the accuracy of all of the information that you submit. All applicants must read and sign the certification on the last page.

You may attach to this application additional information that you feel will be helpful in evaluating your qualifications. This completed application (and accompanying resume and/or other accompanying documents, if any) will become part of your personnel file if you are subsequently employed by the organization. In order for the application to be considered, it must be completed in full.