Application for Employment
Nightingale's Nursing & Attendants is currently hiring!
You must complete and submit an application for employment to be considered. All fields marked with an asterisk (*) are required.
If employed the following must be provided to Nightingale's Nursing & Attendants:
- Drivers License
- Social Security Card
- Proof of car insurance
- Driving Record
- Recent PPD (TB test record)
- Any Certificates (CPR, etc)
- Nursing License (if applicable)
Please summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying. *
Former Employer (List last one first)
Former Employer (2)
Former Employer (3)
Character References (other than relatives or previous employers)
Nightingale's provides services to the following Counties. Please select every county in which you are willing to work:
Tip: To select multiple locations, hold down the Ctrl key while clicking each county.
|I certify that the facts contained in this application are true and complete to the best of my knowledge and understand
that if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of my background
through SLED checks and all other information provided and release Nightingale's from all liability from any damage that may result
from using such information. I also understand and agree that no representative of Nightingale's has any authority to enter into any
agreement for employment for any specific period of time or to make any agreement contrary to the foregoing, unless in writing and
signed by an authorized Nightingale's representative. This waiver does not permit the release or use of disability-related or medical
information in a manner prohibited by the Americans With Disabilities Act (ADA) and other relevant federal and state laws.
|Do you agree with the authorization statement?