Certifications and Licenses
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License Type (e.g., LPN, RN, CNA), License Number, Issuing State, Expiration Date, any Additional Certifications (e.g., CPR, ACLS, PALS):
References
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Please List Professional References (Name, Relationship, Contact Info)
Compliance and Consent
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By submitting this application, I understand that a background check may be conducted as part of the hiring process. I certify that all information provided is accurate and agree to comply with this requirement. I acknowledge and consent to a background check as part of the hiring process.
I authorize Taylor Health and Wellness to contact the professional references I have provided to verify my qualifications and suitability for the position.
Taylor Health and Wellness is an equal opportunity employer. We are committed to creating an inclusive environment for all employees and applicants. Employment decisions are based on qualifications, merit, and business needs, without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other protected status. I understand Taylor Health and Wellness is an equal opportunity employer.
By signing below, I certify that all information provided in this application is accurate and complete. I understand that any misrepresentation or omission may result in disqualification from consideration or termination if hired. I agree to the terms outlined above regarding the background check, reference contact, and Equal Employment Opportunity policy.