Application for Employment

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in Recovering Hope Treatment Center. Please complete the required information below and submit this application for further consideration. This application is valid for 60 days from the date signed/dated on the signature line.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Email *

Last Name *

First Name *

Middle Initial/Name

Street Address *

City, State and Zip Code *

Phone number *

In what position(s) are you interested? *

Licenced Practical Nurse (LPN/RN) (Overnight Shift w/Rotating Weekends)

Med Technician

Required

Date Available for Hire *

YYYY

Are you eligible to work in the United States? *

Yes

Are you at least 18 years of age or older? *

Yes

Can you work any shift? *

Yes

Other:

Were you referred to us by an employee of Recovering Hope Treatment Center? If so, whom?

Yes

If yes, Name:

Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation? *

Yes

Some roles require weekend work. Can you meet this requirement (if applicable for the position)? *

Yes

Other:

Please copy/paste cover letter text here (OR email resume to info@recoveringhope.life) *Must still complete application) *

Please copy/paste resume text here (OR email resume to info@recoveringhope.life) *Must still complete application. *

Clear form

Never submit passwords through Google Forms.

This form was created inside of Recovering Hope Treatment Center. Report Abuse

Forms