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1601 Ailor Ave. | Knoxville, TN 37921-6702 | phone: 865.524.3074 | fax: 865.521.2642

Scrolling Needs Marquee Part of I-40 is closed, but MEDIC remains open. Please check detour map on our homepage.

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Donor Collection Hours: 

Mon-Fri., 8 am to 6:30 pm

Sat., 8 am to 11:30 am

Sun., 1 pm to 4:30 pm

Office hours:

Monday-Friday 8 am to 5 pm

Closed most major holidays
Open Memorial Day

QUESTIONS?

Click Here to read information on what to expect and things you should know before you prepare to donate.

It is the policy of Medic Regional Blood Center to be a tobacco free facility. This means that current smokers or tobacco users are NOT eligible for employment.

All offers will be contingent upon your successful completion of the pre-employment process which will include a physical exam, drug/nicotine screening that screens for illegal drugs and/or controlled substances, and a background check.

Do you smoke or use smokeless tobacco?

Yes

No

Date:
Position Applied For:
Salary Desired:
Are you applying for:
Full Time

Part Time

PRN

If seeking part time work,
specify the number of days per week:
Name (last, first, middle):
Social Security Number:
Address:
City, State, Zip:
Home Phone:
Cell Phone:
Are you a U.S. Citizen or an alien legally authorized to work in the United States?
Yes No
Are You 18 or older?
Yes No
Have you ever been Employed by Medic?
Yes No
If yes, dates, position and department employed:
Have you ever applied at Medic before?
Yes No
If yes, When?
Do you have relatives or friends employed at Medic?
Yes No
If so, Employee's Name:
How were you referred?
Have you ever been convicted of any crime other than a minor traffic violation?
Yes No
A criminal conviction will not necessarily be a bar to employment. To help us evaluate your application, please describe the nature of the crime and your subsequent rehabilitation:

 
How soon are you available to begin employment?
Shift Preference:
If preferred shift is unavailable will you work?
Day: Evening: Night:
If required will you work?
Saturdays: Sundays: Holidays:
 
EDUCATION/SKILLS
School Name & Location Course of Study Last Year Completed Diploma / Degree Obtained
High

GED  
Vocational
College(s)
College(s)
If licensed, registered or certified:
Type: No: State Issued: Date Issued: Expiration:
Language Skills (other than English):
Since communication with donors, their families and physicians sometimes involves the use of foreign languages, please identify other languages that you speak, including sign language.
EMPLOYMENT HISTORY
Present or Last Employer
Name of Employer:
Position Held:
Dates (From - To):
Address:
City, State, Zip:
Phone:
When may we contact:
Reason for leaving:
Salary
Duties:
Hours Per Week:
Name/Title of Supervisor:
Employer 2
Name of Employer:
Position Held:
Dates (From - To):
Address:
City, State, Zip:
Phone:
Reason for leaving:
Salary
Duties:
Hours Per Week:
Name/Title of Supervisor:
Employer 3
Name of Employer:
Position Held:
Dates (From - To):
Address:
City, State, Zip:
Phone:
Reason for leaving:
Salary
Duties:
Hours Per Week:
Name/Title of Supervisor:
Employer 4
Name of Employer:
Position Held:
Dates (From - To):
Address:
City, State, Zip:
Phone:
Reason for leaving:
Salary
Duties:
Hours Per Week:
Name/Title of Supervisor:

Granting and continued employment is conditioned upon receipt of favorable references.

Record Information Release

To Whom It May Concern:
I have applied to MEDIC for employment. To enable MEDIC to properly evaluate my qualifications, by clicking the submit button I request and authorize you to release and furnish to MEDIC any and all information in your records or files, or within your knowledge, concerning my present and/or past employment with you.

Other Names Previously Used:

By submitting my application online, "I fully understand that any offer of employment is contingent upon favorable employment references. I authorize the investigation of all statements contained on this application and the references listed to give you any and all information concerning my previous employment and any pertinent information they may have, and release all persons from all liability and damages that may result from furnishing that information to you."

"If I am offered employment, I agree to submit to a physical examination including substance/nicotine screen whenever requested, and I understand my becoming employed and/or my continued employment are subject to the results of any examination related to my job duties in accordance with company policies and procedures."

"In consideration of my employment, I agree to conform to the rules and regulations of MEDIC, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at the option of either MEDIC or myself. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by MEDIC. I understand that no representative of MEDIC, other than its Administrator, has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing."

"I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between MEDIC and myself for either employment or for the providing of any benefit." I certify that I have read and understand the foregoing paragraphs. I further certify that all the information submitted by me on this application is true and complete to the best of my knowledge, and I understand that any false information, omissions, or misrepresentation of facts called for on this application may be cause for the denial of my application or, if I am employed, discharge at any time.

 

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