Employment: Interest Form

Contact Information:

* Your Name:
* Address 1:
Address 2:
* City/State/Zip:
E-mail:
Day Phone:
Night Phone:
Please contact me by: E-mail
Phone
Best Time to Call:

Locations of Interest:

(select all that apply) Chambersburg
Hazleton
Pottsville
Dover (York)
Central Offices

Positions of Interest:

(select all that apply) Activity Services Director
Alzheimer's Unit Coordinator
Bookkeeping/Office
Certified Nursing Assistant
Chaplainry
Cook
Dining Services
Dishwasher
Driver
Facility Administration
Housekeeping
Laundry Services
Licensed Practical Nurse
Maintenance
Nursing Management
Nutritional Services
Personal Care Assistant
Registered Nurse
Receptionist
Rehabilitation Services
Sales and Marketing
Staff Management
Volunteer

Preferred Schedule:

(select all that apply) Full-Time
Part-Time
Weekdays
Weekends
Evenings
Seasonal
School Breaks

Professional Licenses Attained:

(select all that apply) CALA
CAN
LPN
NHA
OTR
PCHA
RN
RPT
Other (please specify)

Is there anything about your skills or work experience we should know?

Please call me to discuss employment opportunities
I would be interested in volunteer opportunities
Please send me an application for employment

Upload Resume:

Active Adults | Elderly Residential Care | Independent Living Facility | Pennsylvania Retirement Community | Senior Citizen Housing