Primary Health Care Association


Thank you for your interest in MPHCA practice opportunities. Please complete the Candidate Profile Form and submit a current CV. CVs may be sent via email, fax or standard mail. Email (preferred): Attach your CV as a Microsoft Word document or as a PDF document and send to Workforce Development Coordinator. Fax: Fax your CV to (601)981-1217. Standard Mail: Mississippi Primary Health Care Association Attn: Recruitment P.O. Box 11745 Jackson, MS 39283-1174 If you have previously completed a Candidate Profile and submitted your CV, and would like to be considered for additional opportunities, please email your name, telephone number and location of job(s) in which you are interested to Workforce Development Coordinator. If you require a J-1 visa waiver, click here for further information.



First Name:

Last Name:

Email Address:

Street Address:

City:

State:

Zip Code:

Work Phone:

Home Phone:

Mobile:

Fax:

Preferred method(s) of contact. Check all that apply:

Home Work Phone Mobile Phone Email

Citizenship? Please check one:

US Citizen J-1 Visa Holder

Date available to begin employment:

(mm/dd/yy)

Discipline:

FP IM OBG PED PSY DMD

DDS PA NP LCSW

MPHCA provides placement assistance only to practioners of the above disciplines. If your discipline is not included, please do not register on the site.

Subspecialty Training: If you are a physician, do you perform OB services?



Board Status:

Board Certified Board Eligible N/A

Spanish Speaking Ability:



Other Language Fluency:



Please check if seeking:

NHSC Loan Repayment NHSC Scholar Site

Expected Salary Range:

(range/benefits package)

Please select primary preference:

Full Time Part Time

Additional information that will help MPHCA staff assist you in a suitable practice opportunity.



How did you hear about MPHCA Recruitment:

Exhibit
National Health Service Corps
State Loan Repayment
Newspaper/Journal Ad
MPHCA Website

Conference (please specify)
Website (please specify)
Other




This section of MPHCA's Website was funded by a grant from the U.S. Department of Health and Human Services' Office of Minority Health and the University of Mississippi Medical Center's MS Institute for Improvement of Geographic Minority Health http://www.migmh.org.