Job Application
Please complete the form below to apply for a position with us.
Full Name
*
First Name
Middle Name
Last Name
Birth Date
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Current Address
*
Street Address
Street Address Line 2
City
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Email Address
*
example@example.com
Phone Number
*
Position Applied
*
Please Select
Registered Nurse
Paramedic
Medical Assistant
Which location are your interested in working at?
*
Please Select
Alexandria
Lafayette
Mobile Services
Available Start Date
*
/
Month
/
Day
Year
How did you hear about us
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LinkedIn
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Upload Your Resume
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Upload Your Professional License
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Upload Your Professional Certificaitons (BLS, CPR, etc)
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I certify that the information contained in this application is correct and understand that falsification of this information is grounds for dismissal. I authorize Dripsy Wellness LLC or its agents to conduct an investigation of my background for the purpose of confirming the information contained on my application, and / or obtaining other information which may be material to my qualifications for employment. I authorize any individuals or entities contacted during this investigation to give Dripsy Wellness LLC any and all pertinent information they may have, personal or otherwise, and release all parties from any and all liabilities, claims, or law suits in regard to the information obtained. If an employment relationship is established, I agree to conform to the polices and procedures of Dripsy Wellness LLC and to support the company's commitment to operate in compliance with all applicable laws. I understand that my employment and compensation can be terminated with or without cause, and with or without notice, at anytime at the option of either the company or myself. I also understand that any period of employment is not for a specific duration and understand that with the exception of the Chief Executive Officer of the company, no company representative has the authority to manage any oral or written agreements which are contrary to the forgoing.
*
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