Resource Center | Employee Applications

Complete Application Packets

If you've never worked for Southern Healthcare before or you need to complete an entire application, use the forms under this section.  Please review the Instructions before you begin.  If you have any questions, please call our office at (601) 933-0037 and we will be happy to assist you.

• Application Instructions
• Digital Signature Instruction

Everyone needs to start with the General Application and proceed to the following additional forms that applies to the position in which you are applying.

• General Application
  
  
  • RN Application Additional Forms
  • LPN Application Additional Forms
  • LPN Medicaid Application Additonal Forms (Fill out this packet if you will be working for our Medicaid Department)
  • CNA Application Additional Forms
  • CNA Medicaid Application Additional Forms (Fill out this packet if you will be working for our Medicaid Department
  • CMA Application Additional Forms
  • Dental Assistant Additional Forms
  • Clerical Additional Forms

Individual Forms

If you are a current employee and you need update certain forms of your application, use this section.

• General Application
  • Physician Statement
  • Acknowledgement of Handbook & Service Agreement
  • Direct Deposit Authorization Form
  • Hepatitis B-Varicella Form
  • I-9 Form
  • In-service Acknowledgement & In-service
  • MDHS Child Abuse Registry Check
  • MS State Tax
  • Safety, Body Mechanics, Infection Control Exams
  • SHA Required Documentation Information
• Additional RN Application Forms
  • Oncology Skills Checklist
  • PICU Skills Checklist
  • RN Exams
  • RN Job Descriptions-All
  • RN.LPN Intake and Skills
  • RN.LPN Professional Liability Application
• Additional LPN Application Forms
  • LPN Answer Sheet & Med Exam
  • LPN Job Description
  • Medicaid Waiver Packet
•   Additional CNA Application Forms
  • CNA & DMHA Job Description
  • CNA Employee Intake & Skills Checklist
  • CNA Test
  • Medicaid Waiver Packet
• Additional Medicaid Waiver Forms
  • CNA Employee Intake & Skills Checklist
  • CNA Test
  • DMHA Job Description Long
  • DMHA Job Description Short
  • Medicaid Waiver Packet

Mon. - Fri. 8am to 5pm | Telephone 601.933.0037 | 1088 Flynt Drive, Flowood, MS 39232