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Baker Rural Health Clinic
Ed Fraser Memorial Hospital
Dopson Family Medical Center
W. Frank Wells Nursing Home

RN/LPN PRN positions. W. Frank Wells Nursing Home

Responsibilities:

Providing direct care for patients and residents in a skilled nursing, sub-acute care and long-term care nursing center
Administer medication, change wound dressings and care for other treatment options
Perform physical examinations and diagnostic tests.

Qualifications for a RN/LPN

RN or LPN licensure in the state of Florida required.
CPR Certification Required
Must pass Level 2 AHCA screening and preemployment drug screening.

Competitive salary with Shift differential.

Job Category:
Department: Nursing Home
Job Type: PRN
Salary Range: Negotiable and based on credentials and experience
Job Posting Date: 08/13/2024

Application for Employment

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Personal Information
Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone number*
Alternate number
Email*
Social Security Number
If you are under 18 years of age, can you provide required proof of your eligibility to work?*
- Yes
- No
Have you ever filed an application with us before?*
- Yes
- No
Have you ever been employed with us before?*
- Yes
- No
Do any of your friends or relatives, other than spouse, work here?*
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Employee's Name
Are you currently employed?*
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May we contact your present employer?*
- Yes
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Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? (Proof of citizenship or immigration status will be required upon employment.)*
- Yes
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Date available for work:*
MM slash DD slash YYYY
What is your desired salary range?*
Are you available to work:*
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For full-time, please indicate what shift:*
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For part-time, please indicate:*
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Are you currently on “lay-off” status and subject to recall?*
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Can you travel if a job requires it?*
- Yes
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Education
High School
Name of school:
Address:
Address:
Course of study:
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Employment Experience
Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected statuses.
1. Employer
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Supervisor
Dates employed
From:
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2. Employer
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Phone
Job title
Supervisor
Dates employed
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Starting:
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Work performed:
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3. Employer
Address
Street Address Address Line 2 City State ZIP Code
Phone
Job title
Supervisor
Dates employed
From:
Month
Day
Year
To:
To:
Month
Day
Year
Hourly rate/ salary
Starting:
Final:
Final:
Work performed:
Reason for leaving:
4. Employer
Address
Street Address Address Line 2 City State ZIP Code
Phone
Job title
Supervisor
Dates employed
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Day
Year
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Day
Year
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Starting:
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List professional, trade, business or civic activities and offices held.
You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected statuses.
You may also attach a resume as a file here, in addition to fully completing an application
Max. file size: 3 MB.
Additional Information
Other qualifications:
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Specialized skills
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State any additional information you feel may be helpful to us in considering your application:
Can you perform the essential functions of the job for which you are applying:
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References
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2. Reference Name
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2. Reference Name
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Applicant's Statement
Consent*
I certify that answers given herein are true and complete.

I authorize investigation of all statements contained in this application for employment as may be necessary for arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed in an written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive in this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of this employer.
I agree
Signature of applicant
Date
MM slash DD slash YYYY

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