Employment Application

Attention Candidates: Effective March 16, 2009, Robert Wood Johnson University Hospital is requiring a drug screen as part of the pre-employment physical process. The results of this drug screen must be “negative” for you to continue in the employment process.

Thank you.

Code of Conduct	Please Check
1. Treat patients/guests/co-workers with dignity, respect and courtesy a) Greet all customers in a friendly and helpful manner Address all patients and family members as Mr., Mrs., or Miss, unless otherwise requested Introduce yourself, smile and be polite when assisting customers Always use "Please, Thank You or How May I Help You", when engaging in conversation b) Use proper telephone etiquette Respond to calls quickly Communicate clearly and effectively with internal and external customers Identify yourself by name, Department and role when offering assistance If you must place a caller on "Hold", do so for a minimal amount of time. If a delay is anticipated, get the appropriate information and call the person back
2. Respect each patient's privacy Always knock before entering a room Limit excess noise in patient areas Maintain confidentiality - Never discuss patient matters and refrain from identifying patients by name in public areas Respect diverse cultural and religious backgrounds of patients, visitors and staff
3. Anticipate customer needs and act promptly and effectively Listen and explore customer concerns Don't fail to provide assistance - Customer service is everyone's job! If you are unable to answer a question, find someone who can Follow through with commitments Resolve complaints in a satisfactory manner
4. Maintain a safe and secure environment for our patients Be Alert - always report spills, hazardous situations or anything you think may be unusual in a hospital setting to your supervisor or security Remind customers that the Hospital is a smoke free facility Follow safety procedures when providing patient care
5. Make a good first impression Dress in a manner which reflects your important role in the healthcare environment If you are required to wear a uniform, be sure it is always clean and neat Keep attire including accessories simple, safe and professional Always wear your Hospital ID badge - People need to know who you are!
6. Be committed to your role at the Hospital Report to work as scheduled Be a team player Be dedicated to customer relations and performance improvement Remain positive and enthusiastic at all times Go the "extra mile" to ensure that our customers experience positive outcomes Treat customers the way you would like to be treated

I have read and agree to uphold the standards outlined above and act as a "Service Ambassador" for RWJUH. If selected, I understand that my failure to comply with these expectations may result in the termination of my employment.

Name:
Date: (mm/dd/yyyy)
I Agree!

Employee will be required to sign this form again in person for our records.