24hr Emergency Service
General Service Hours
Monday  8am-8pm
Tuesday 8am-8pm
Wednesday 8am-8pm
Thursday  8am-8pm
Friday 8am-8pm
Saturday 8am-3pm
Sunday 10am-Noon

What is distinctive about an AAHA hospital member?


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   2660 Duke Street , Alexandria, VA 22314
Main 703-751-2022   Emergency Department 703-823-3601

Welcome to Our Site

Please fill out this form completely. This application will be kept on file for 90 days.

Form - On-line Application Form

Name (required)
First Name (required)
Last Name (required)
Address (required)
Street Address (required)
City (required)
State/Province (required)
Zip/Postal Code (required)
,
Phone (required)
Phone TypePhone Number (required)
Alternate Phone
Phone TypePhone Number
E-Mail Address :
Position Applying For

Interested in Full Time? (required)
Yes
No

Interested in Part Time? (required)
Yes
No

Please indicate schedule availability
Morning
Afternoon
Evening
Night
Weekends
Any Schedule Limitations?

Are you legally eligible to work in the United States? (required)
Yes
No

Are you currently employed? (required)
Yes
No

May we contact your employer?
Yes
No

Date you can start: (required)

Expected rate of pay:

Have you previously been employed by AAH or AVES?
Yes
No

If yes, when?

Have you previously applied for employment with us?
Yes
No

If yes, when?

Have you been convicted of a felony or are any charges now pending against you? (required)
Yes
No

If yes, please describe.

Educational Background
Highest Level of Education Attained (required)
High School
College
Professional Degreee

Graduate?
Yes
No

Name of School (required)

Location of School (required)

Employment History - List your last 3 employers, starting with the most recent
Name of Employer

Name of Supervisor

Position Held:

Begin Date:

End Date:

Major Duties

Name of Employer

Name of Supervisor

Position Held

Begin Date

End Date

Major Duties

Name of Employer

Name of Supervisor

Position Held

Begin Date

End Date

Major Duties

Please list any additional skills or information you would like us to know about you.


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