Licensed Practical Nurse Employment Application

Licensed Practical Nurse Job Application

  • Must be at least 18 years of age
  • Must have reliable transportation
  • Must have current car insurance
  • Must not have been convicted of a felony
  • Must pass a background check
  • Must have a high school diploma or GED
  • Must have an active Missouri LPN license
LPN – Employment Application
Fill out the form completely and be sure to double-check your email address and phone number.
Your contact information
Please fill out the form completely.
Availability
What days and hours are you available to work?
Hourly or annualy
Easy Living, Inc. operates in Bolivar, El Dorado, Joplin, Webb City and Springfield, Missouri.
What hours are you available?
Education
High School Diploma or GED minimum.
Additional Training
Mobility
Requires Proof of Insurance on hire.
Employment History
Where have you worked before? Start with the most recent.
Hourly or annually
Hourly or annually
Hourly or annually
Hourly or annually
Personal References
Contact information for 3 people, not related to you that you've known for at least 1 year.
If no phone please add mailing address or email address.
About You
Check For Errors Or Omissions
If you click the 'Apply' button below and you are not directed to a confirmation screen, scroll up and make sure you filled in all required fields marked with a red *.
Authorization
By submitting this form, I certify that the facts contained in this application are true to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. l authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release the company for ail liability for any damage that may result from utilization of such information.