Resumes and applications are accepted for positions at Bryan, Montpelier, and Archbold. Please complete the application below, or print by clicking here:  Application for Employment.
Return the completed application to:
Human Resources, CHWC,
433 West High,
Bryan, Ohio 43506

Note: Resumes stay on file for six months. Thank you.


  • APPLICATION FOR EMPLOYMENT
    A resume may not be submitted in place of completing an application.
    (PRE-EMPLOYMENT QUESTIONNAIRE) (AN EQUAL OPPORTUNITY EMPLOYER)
  • Personal Information

  • EMPLOYMENT DESIRED
  • EDUCATION
  • PROFESSIONAL LICENSE/REGISTRATION
  • EMPLOYMENT HISTORY
    List below all present and past employment, beginning with your most recent.
    (NOTE: If you previously worked under another name,please indicate.)
  • IF YOU HAVE HAD NO PAST EMPLOYMENT REFERENCES:
  • In Case of Emergency Notify:
  • I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application or any other hospital document shall be grounds for dismissal.

    I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.

    I understand and agree that, if hired, my employment relationship with CHWC will be at-will. Thus, just as I am free to end my employment with CHWC at any time for any reason, CHWC may, at any time, end my employment with CHWC at its sole discretion. I acknowledge that no supervisor, manager, or representative of CHWC, now or in the future, has authority to enter into any agreement with me for employment for any specific period of time or to make any promise or commitment contrary to the foregoing, unless that alteration or agreement is set forth in writing and is signed by CHWC’s President.

    I agree that any claim or lawsuit relating to my employment or application for employment with CHWC or any of its subsidiaries or affiliates must be filed no more than six (6) months after the date of the employment action that is the subject of the claim or lawsuit. I waive any statute of limitations to the contrary.
  • CHWC is an equal opportunity employer. All applicants for employment are treated without regard to their race, color, religion, sex, genetic information, national origin, disability, age (forty and older), ancestry, military or veteran status, or any other status protected by applicable law. Hiring is based upon evaluation of training, experience, and other qualifications directly related to job requirements.

    Thank you for completing this application form and for your interest in employment with us. We would like to assure you that your opportunity for employment with CHWC will be based only on your merit and no other consideration. This application will remain active for six (6) months.