• Soul Therapy Holistic Healthcare Services™ Application

    Thank you for your interest in joining Soul Therapy Holistic Healthcare Services™. Please complete every applicable section. We are an equal opportunity employer and consider qualified applicants without unlawful discrimination.

  • Application

    CENTER
  • Join a team that cares. Make a difference.
  • Compassion
  • Holistic Support
  • Community
  • Opportunity

  • Welcome!

    Thank you for your interest in joining Soul Therapy Holistic Healthcare Services™. Please complete the application below to take the next step in becoming part of our team.

  • Applicant Information

  • Format: (000) 000-0000.
  • Date Available
     - -
    2 digit month, 2 digit day, 4 digit year
  • Application Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Are you at least 18 years of age?
  • Are you legally authorized to work in the United States?
  • Will you now or later require employment sponsorship?
  • Can you perform the position's essential functions with or without reasonable accommodation?

  • Position Requested & Work Preferences

  • Position(s) Requested
  • Employment Type

  • Weekly Availability & Scheduling

  • Enter the earliest time you can start and the latest time you can end each day; write N/A if unavailable.
  • Shift Preference
  • Willing to Work Holidays When Scheduled
  • Reliable Transportation to Assigned Work Locations

  • Licenses, Certifications & Training

  • Relevant Licenses and Certifications

  • Care & Support Skills

  • Care & support skills

  • Employment History

  • List your most recent employers first. Include relevant paid, contract, and volunteer experience. Explain any employment gaps of 30 days or more in Additional Qualifications & Employment Gaps.
  • Employer 1
  • Format: (000) 000-0000.
  • May we contact this employer?
  • Start Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • End Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Employer 2
  • Format: (000) 000-0000.
  • May we contact this employer?
  • Start Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • End Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Employer 3
  • Format: (000) 000-0000.
  • May we contact this employer?
  • Start Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • End Date
     - -
    2 digit month, 2 digit day, 4 digit year

  • Education & Additional Qualifications

  • List your education and training most relevant to the position. Do not include graduation years unless you want to.
  • High School / GED - Completed?
  • College / University - Completed?
  • Vocational / Professional Training - Completed?

  • Holistic Care Knowledge & Approach

  • Soul Therapy Holistic Healthcare Services™ supports the whole person - physical, emotional, social, cultural, and spiritual well-being. Your answers help us understand your experience and training; checking an item does not authorize practice outside your role or credentials.
  • Current knowledge level in holistic care
  • Practices known or experienced
  • Have you completed formal training in a holistic practice?
  • Completion / expiration date
     - -
    2 digit month, 2 digit day, 4 digit year

  • Professional References & Prior Employment with Soul Therapy Holistic Healthcare Services™

  • Please provide three professional references who are not relatives. These references may be contacted as part of the hiring process.
  • Reference 1
  • Format: (000) 000-0000.
  • Reference 2
  • Format: (000) 000-0000.
  • Reference 3
  • Format: (000) 000-0000.
  • Have you previously worked for or applied to Soul Therapy Holistic Healthcare Services™?
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  • Screening & Consent

  • Background Screening Authorization Please complete the separate Soul Therapy Holistic Healthcare Services™ Background Report Disclosure & Authorization for SLED criminal-history screening, sex-offender registry screening, and, when driving is relevant to the position, driving-record screening. Complete Background Screening Authorization: https://form.jotform.com/262718475115056

  • Applicant Certification & Authorization

  • Please read carefully before signing. I certify that the information in this application is true, complete, and accurate to the best of my knowledge. I understand that material omissions or false statements may result in withdrawal of an offer or termination of employment. I authorize Soul Therapy Holistic Healthcare Services™ to verify the employment, education, credentials, and professional references I provided, and I authorize those sources to release relevant information as permitted by law. I understand that any employment is at will unless a written agreement signed by an authorized company representative states otherwise. This means either I or the company may end employment at any time, with or without notice or cause, subject to applicable law. Nothing in this application creates a contract or guarantee of employment. If selected to continue in the hiring process, I agree to comply with job-related screening requirements, which may include credential verification, driving-record review when relevant, a drug/alcohol screen, and a criminal background check as permitted by law. Any consumer report will be obtained only after I receive and sign the separate disclosures and authorizations required by applicable law. I also understand that healthcare work requires confidentiality, professional conduct, reliable attendance, and compliance with HIPAA and company policies.
  • Signature Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Holistic Care • Quality People • Stronger Communities
  • Respect • Integrity • Compassion • Excellence
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