Courtyard Estates | Petersen Health Care > Job Application
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Job Openings

View our list of jobs available for our Courtyard Estates homes by clicking here.

Fields marked with an asterisk (*) must be filled out before submitting.

Upload your Resume
Facility Interested In (required) *

Personal Details

Social Security # (For License Verification)
Name (required) *
Email Address (required) *

Contact Details

Address
City
Zip code
State
Telephone
Cell phone

Other Information

Position Desired
Profession License/Certification Number
Type
State
Where Currently Employed
Have you ever been employed by a Petersen Health Care Facility? Yes
No
If Yes, Which facility?
May we share this application with other Petersen Health Care Facilties? Yes
No

Education

Name & Location of Schools/College Attended
Major Subject
Degree Earned
Name & Location of Schools/College Attended
Major Subject
Degree Earned

Former Employers & Experience (References)

Place of Employment
Address
Phone Number
Dates Employed
Reason for Leaving
 
Place of Employment
Address
Phone Number
Dates Employed From
Reason for Leaving
 
Place of Employment
Address
Phone Number
Dates Employed From
Reason for leaving

Personal References

Reference Name
Phone
Business
 
Reference Name
Phone
Business
 
Reference Name
Phone
Business
Any Additional comments

Optional: Self Identification

Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information will be kept confidential and will only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual.
Race/Ethnicity (Check all that apply) Asian/Pacific Islander
American Indian/Alaskan Native
Black/African American
Hispanic/Latino
White
Military Status (Select One) Active Reserve
Armed Forces Service Medal Veteran
Inactive reserve
No Military Service
Other Protected Veteran
Service Medal and Other Veteran
Veteran (VA Ineligible)
Veteran of the Vietnam Era
Vietnam and Other Protected Veteran
Retired Military
Disability Status Individual with a disability
Disabled Veteran

*I Understand that Petersen Health Care is an Equal Opportunity Employer. I understand I will be required to have a physical examination and criminal background check if employed. I understand that if I have falsified any information on this application, and enter into employment with a Petersen Health Care Facility, I may be immediately terminated upon discovery of the falsification. Petersen Health Care may seek references from the list above. I hereby declare that I am able to perform the essential functions of the position which I am applying. * YES
 

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin.