Family Medicine Physician

Email Registration

Your email address will be used as your login name allowing you to return to our website to update your profile.

If you are a returning applicant, please sign in or reset your password using the Login button.

Your Information

Save Time

Use your resume or LinkedIn Profile to fill in many of the fields on this application form. Please review your work history in detail and account for any gaps in employment.

Personal Information

Please enter your name as it appears on your driver's license, ID, or social security card. The name you enter will be used for background check purposes if we proceed to that step in the process.

Additional Information

Have you previously worked for any Yakima Valley Farm Workers Clinic location?

Have you ever completed a clinical rotation, internship, externship, or another student or volunteer experience at any Yakima Valley Farm Workers Clinic location?

If you have completed a student or volunteer experience with us, tell us when, where, and what type of placement you completed.

Are you fluent in a language other than English? If so, please list which languages you speak fluently, below. 

Please tell us about your computer skills. Which software programs and computer systems do you have experience with and how many years experience do you have with each.

Tell us about any additional skills or qualifications you would like us to consider when making our decision. 

Do you know any of our board members? If so, please list their name(s). 

Do you hereby attest under penalty of perjury, that you are a citizen or national of the United States of America (USA), an alien lawfully admitted for permanent residency in the USA or an alien who is authorized by US law or by the US Attorney General to be hired, recruited, or referred for employment by the Yakima Valley Farm Workers Clinic?

Work and Education History

Employment History

Please list ALL of your relevant work experience. The work experience you include be used as the basis for a job offer if you are selected for the position.

All fields marked with an asterisk (*) are required.

List what you did in this job.  Please be detailed.  This information will be used to calculate your pay rate if we offer you a position.

Please indicate if you worked in more than one job title, for example, you received a promotion or transferred into another position.

For example,

Courtesy Clerk, 5/10/10 - 7/15/16
Pharmacy Technician, 7/16/16 - current

Add Work History

Education History

Please list the most relevant education history you have for the job you are applying for. For example, if you are applying for a position as a nurse and you also have a degree in philosophy, but the degree in philosophy is NOT required for your job, then list your nursing education. You would not list your philosophy degree.

Add Education

Other History


Please provide a minimum of three (3) references we can contact. List professional references that can speak to your job performance. Do not list any family members or personal friends. If you have limited work experience, please consider listing a teacher/instructor, principal or a volunteer supervisor.

Add Reference

Certificates and Licenses

Please list only certificates and licenses that are relevant to the position you are applying for.

Add Certificate And License

Review and Submit

I certify that the above information is true and correct to the best of my knowledge. I understand that misrepresentation or omission of facts is cause for termination if employed by Yakima Valley Farm Workers Clinic (YVFWC). I grant permission to YVFWC to verify and obtain information regarding my employment, school records, criminal history, and license/certification. I hereby release my employers, schools, personal references, and any agencies contacted from any and all liability for damages for providing the information requested. If employed, I release YVFWC from any liability for future references it may provide regarding my work history with YVFWC. Employment may be contingent upon the provision of documents necessary to satisfy the Immigration Reform and Control Act, a satisfactory background check report and satisfactory references. I authorize YVFWC to share information contained in my application (such as education and professional experience) with internal stakeholders for inclusion within grant applications for which YVFWC is the grant recipient. I understand that this application does not create a contract of employment. Employment at YVFWC is at-will, and that means my employment and compensation can be terminated with or without cause and with or without notice, at any time at the option of either the agency or myself. If you are applying for a safety-sensitive position you will be required to undergo testing for controlled substances and at our discretion, alcohol testing, before employment and will be subject to further testing throughout your employment. If you are applying for a position that requires a Commercial Driver's License, will also be asked to sign forms for release of information from previous employers in all cases where driving a Commercial Motor Vehicle (CMV) was one of your functions.  Failure to sign will prevent YVFWC from hiring you as a CMV driver. I consent to electronic submission and storage of this employment application. I acknowledge my right to withdraw my electronic consent and sign this document in non-electronic format by sending an email to jobs@yvfwc.org. 

Application Review

Candidate Sign Off

I certify that all of the information in this application is true and correct as of this date.