Careers at The Palmettos Assisted Living

Thank you for your interest in a career with The Palmettos. Please complete the form below. (* is required)

General Information
*First Name *Last Name
Home Phone Work Phone
Mobile Phone Fax
*Email 2nd email
Street Address City
State ZIP Code
How did you learn about this job posting?    
May we contact your current employer? Yes      No      Not employed
Position Questionnaire
Position for which you are applying:
Years experience:
Are you currently licensed and/or
eligible for the position to which
you are applying?		 Yes   No Can you provide proof, if hired,
that you are eligible to work in
the United States?		 Yes   No
Paste resume in the box below (all formatting will be lost).
Education (start with the highest)
Level School name City & State Major Graduated?
Yes
Yes
Yes
Yes
Yes
Professional Licensure, Certification or Registration
Type License & Reg. No. Year Issued State Issued Exp. Date
Special achievements
Availability
Part time Full Time
What shift(s)? Day   Evening   Night
By checking this box I attest that all the information submitted in this form is true
to the best of my knowledge.