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Position Applying for
Registered Nurses (RNs)
Licensed Vocational Nurses (LVNs)
Certified Home Health Aides (CHHA’s)
Physical Therapist
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Are you at least 18 years old?
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If applying for a position requiring company driving, do you have a valid Driver's License?
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Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?
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If yes, state nature of the crime(s), when and where convicted, and disposition of the case
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