To submit your application please complete the form below. Fields marked with a red asterisk * are required. When you have finished click Submit at the bottom of this form.

Click the Upload Resume to use your resume to pre-fill this application form.

Click the LinkedIn link to use your LinkedIn profile to pre-fill this application form.
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Email Registration

Your email address will be used as your login name allowing you to return to our website update your profile. If you do not have an email address, you can obtain a free account at Yahoo or Hotmail. Please make sure that the syntax of your email address is in the following form:
Please create your password
Passwords must be at least six(6) characters

Personal Information



Current Address


How did you hear about us?

If you were referred to us by a current employee, please provide their full name.

General Information


Are you 18 years of age or older?

If you are under 18 years of age, can you provide required proof of your eligibility to work?

Are you either a U.S. citizen or alien who has the legal right to remain and work in the U.S.?

(You will be required to furnish documents proving identity and eligibility to work in the U.S. if you are extended a job offer.)

Have you previously worked for ISS Solutions or a Geisinger Health System Hospital or affiliate?
If yes, please provide title, dates, and location of employment.


Have you ever been discharged from a job?
If yes, explain fully.

Can you perform the essential functions of the position(s) for which you are applying with or without reasonable accommodation?

If your position requires travel, are you able to travel?

Are you able to relocate?

Are you currently employed?
If yes, may we contact your current employer at this time?

Military Experience


Additional Information

Please include any additional information, school activities, training or certifications received that is relevant to the position(s) for which you are applying.

Employment History - YOU MUST COMPLETE THIS SECTION OF THE APPLICATION (A resume may be attached in addition to providing the requested information) START WITH YOUR PRESENT OR LAST JOB:

Responsibilities and Duties

+ Add Another Work History    

Education Background:


+ Add Another Education    



+ Add Another Certificates And Licenses    

References - List three supervisors, instructors or other individuals who can evaluate your work performance (Do not list friends or relatives):




Resume Attachment

Your resume can be uploaded in any of the following formats: DOC, DOCX, RTF, PDF, TXT, HTML.
Add Resume & Attachments

Cover Letter
You can use the text area for a cover letter and any supplementary information you would like to provide about your career goals, availability, best times to contact you, etc.

Applicant's Acknowledgment



All phases of employment at ISS Solutions are based strictly upon the qualifications of an individual as related to the work requirements of the position. This criteria is applied without regard to sex, race, color, religion, national origin, ancestry, age, physical handicap, marital status, veteran status, or any other non-job-related factors.

I certify, to the best of my knowledge, that the information contained in this application form is true and complete. I understand and agree that any false information, misrepresentation, or concealment of fact is sufficient grounds for either my refusal of employment by ISS Solutions or immediate discharge without recourse. I acknowledge that this application, whether approved or disapproved, may be retained indefinitely by ISS Solutions.

I understand that this employment application or any other documents are not employment contracts. I also understand that any employment will be on a six month introductory basis and that any individual who is hired may voluntarily leave employment upon proper notice and may be terminated by the employer at any time and for any reason. I understand that any oral or written statements to the contrary are hereby expressly disavowed and should not be relied upon by any prospective or existing employee.

I understand and agree that ISS Solutions may verify all information relative to my background and employment. I also release from liability, for doing so, ISS Solutions and any employer, individual or other organization that provides background information.

I also understand that employment is conditioned upon the following: (i) successful verification of employment and educational history;(ii) passing the pre-employment drug-screening (no presence of drugs); (iii) signing the Code of Conduct; (iv) satisfactory check of references, background history and additional screenings as may be required; (v) as applicable, proof of current certificate and/or licensure; and (iv) as applicable, extension of a restrictive covenant.




Voluntary Equal Opportunity Questionnaire

ISS Solutions is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, ISS Solutions invites employees to voluntarily self-identify their sex, race, and ethnicity. The information will be kept confidential and will only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual.

Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment.


Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central Amercian, or other Spanish culture or origin regardless of race.

White (Not Hispanic or Latino) - A person having origins in any of the original peoples of Europe, the Middle East or North America

Black or African American (Not Hispanic or Latino) - A person having origins in any of the black racial groups of Africa

Native Hawaiian or Pacific Islander (Not Hispanic or Latino) - A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

Asian (Not Hispanic or Latino) - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, The Phillipine Islands, Thailand, and Vietnam.

American Indian/Alaskan Native (Not Hispanic or Latino) - A person having origins in any of the original peoples of North or South America (including Central America), and who maintain tribal affiliation or community attachment.

Two or More Races (Not Hispanic or Latino) - All persons who identify with one or more of the above five races.


Veteran Code:

ISS Solutions is a Government contractor subject to the Vietnam Era Veteran's Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA), which requires Government contractors to take affirmative action to employ and advance in employment: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans. These classifications are defined as follows:

Disabled Veteran - means (1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs, or (2) A person who was discharged or released from active duty because of a service-connected disability.

Recently Separated Veteran - means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

Active Duty Wartime or Campaign Badge Veteran - means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

Armed Forces Service Medal Veteran - means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985

Voluntary Self-Identification of Disability

Form CC-305   
OMB Control Number 1250-0005   
Expires 1/31/2020   

Why are you being asked to complete this form?

Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities.i To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.

If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.

How do I know if I have a disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. Disabilities include, but are not limited to:

• Blindness• Cerebral palsy• Multiple sclerosis (MS)
• Deafness• HIV/AIDS• Missing limbs or partially missing limbs
• Cancer• Schizophrenia• Post-traumatic stress disorder (PTSD)
• Diabetes• Major depression• Obsessive compulsive disorder
• Epilepsy• Bipolar disorder• Impairments requiring the use of a wheelchair
• Autism• Muscular dystrophy• Intellectual disability (previously called mental retardation)

Please Select one of the options below :

Format: MM/DD/YYYY

Reasonable Accommodation Notice

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.
i Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the US. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website at
PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

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