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Full Time Staff RNs and Shift Supervisor RNs requesting Loan Repayment or the Bonus Offer must complete and submit the following:

 

 

First Name: *
Middle Name:
Last Name: *
Email address:
Confirm email address:
Department: *
Job Title: * Full-Time Staff RN

Shift Supervisor RN
Address *
PMC Phone/Extension: *
Home/Mobile Phone: *

 

* I understand that this agreement will reduce my base hourly pay by $2 per hour. Once the agreement is completed my pay will be reinstated. By checking this box, I further agree that I have not yet entered into any kind of bonus/student loan repayment or similar agreement with Pikeville Medical Center which might disqualify me.

* = required

For the employees that are choosing the loan repayment, please email one or more good quality photos/screenshots of all pertinent loan details from each lender to Joe.Wells@pikevillehospital.org or Mike.Davis@pikevillehospital.org

Any questions concerning this call Joe or Mike at 3504.

Pikeville Medical Center