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Apply for Licensed Practical Nurse (LPN)

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:Licensed Practical Nurse (LPN)
ID:LPN-EG4
Department:Nursing
Normal Daily Hours:8 or 12
Shift Rotation Schedule:Various Shifts & Status
Salary Range:$30.00+
Resume
Resume:
Supported formats: Word, PDF, RTF, Text, and HTML.
  - or Upload from:
 
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Cell Phone Number:
We may communicate with you through text messages.
Landline Number:
* Email:
Application Information
* Source:
How did you hear about this position?
Referred By:
If a current Associate has referred you, please enter their name here. If not referred, type in N/A
NOTES:
Opt-In Confirmation
I authorize recruiters from Charles E Smith Life Communities/Hebrew Home to send text messages from 8773714819 with requests for additional information in relation to this job application only. Message/data rates apply. Message frequency varies.
Attachments
PLEASE NOTE: If you upload your resume here and it contains education and employment details, you do not need to complete the Education and Employment History sections below.
Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
CPR/BLS/First Aid:
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Please attach your CPR/BLS/First Aid Card
RN/LPN/CNA/GNA License:
  - or Upload from:
 
Please attach your professional license
Application for Employment
If you do not attach a resume, please list at least the last 2 jobs you have held. In addition, if your position requires a license/certification PLEASE upload those documents, as well as CPR/BLS/First Aid card
PERSONAL INFORMATION
Yes   No
Yes   No
Yes   No
Yes   No
EMPLOYMENT DESIRED
Yes   No
Full Time   Part Time   PRN      Days   Evenings   Nights
Yes   No
Yes   No
EDUCATION

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School 1

Yes   No

School 2

Yes   No

School 3

Yes   No

School 4

Yes   No

School 5

Yes   No
EMPLOYMENT HISTORY

Give your full employment record, starting with your current or most recent employment

Employer 1

*
*
*
*
Yes   No
*

Employer 2

Yes   No

Employer 3

Yes   No

Employer 4

Yes   No

Employer 5

Yes   No
AUTHORIZATION

I certify the above stated and indicated are true in fact and no misrepresentation of myself has been made. I understand that any false information, omissions, or misrepresentation of facts will result in rejection from this application and/or discharge at any time during my employment. I authorize Charles E Smith Life Communities to verify any and all information contained within this application or any other documents provided for employment purposes, including but not limited to, criminal history, motor vehicle driving records, and credit (if applicable to position). I authorize all persons, schools, companies, and law enforcement authorities to release any information concerning my background and hereby release any said persons, schools, companies, and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment and I am willing to submit to drug testing at any time to detect the use of illegal drugs prior to or during employment.


I agree that this form may be electronically signed and agree that my typed signature is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.
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