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Contact Us Form

Below you will find the downloadable file of the Application for Employment for Charles Cole Memorial Hospital.

Please complete the online application and click SUBMIT. You can also save the document to your personal computer for later use. All fields are required to be completed for the application to be accepted. It is also important that you have read the Charles Cole Memorial Hospital Guiding Principles before electronically signing the document and submitting. Both signature lines must be completed in order to submit.

Alternatively, you may print and mail the completed application to our Human Resources Office or drop it off in person.

Please also email a Cover Letter & Resume/CV with your completed Employment Application using the below form.

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Name:
Email (Required):
Mailing Address:
Phone:
Job Interest Area:	Physician Advanced Practice Nursing Clinical Management All Other
Job Title of Interest:
Comment or Question:
Letter/Resume/CV:
	(Please send as .pdf, .doc or .odt)

Enter the below text (lower case letters with two numbers)

Human Resource Department
Charles Cole Memorial Hospital
1001 East Second Street
Coudersport, PA 16915
phone (814) 274-5431
fax (814) 274-8099