Join Our Team!

If you are interested in providing in-home services such as:

  • Nursing
  • Home Health Aide (CNA)
  • Social Work
  • Physical Therapy
  • Occupational Therapy
  • Speech Therapy

Check all boxes that apply, fill in text boxes, and submit!  We look forward to hearing from you!

  • NOTE: YOUR APPLICATION WILL REMAIN ON FILE FOR NINETY (90) DAYS FROM THE SIGNATURE DATE. IF YOU ARE STILL INTERESTED IN EMPLOYMENT WITH THIS COMPANY AFTER THAT TIME, YOU MUST INQUIRE AS TO WHETHER OR NOT APPLICATIONS ARE BEING ACCEPTED AT THAT TIME.
  • LAST 4 DIGITS ONLY
    Proof of citizenship or immigration status will be required upon employment
    Note: A conviction record will not necessarily disqualify you from the job for which you are applying.
  • Employment Desired

    Check all that apply
  • List Hours Available
  • Education

  • High School

  • College

  • Nursing School

  • Trade/Business School

  • Work Experience

  • Licenses / Certifications

  • References

  • Do Not List Relatives. References must be able to attest to your character, reputation and qualifications
  • Military Background

  • I hereby certify that all information given by me on this application is true and correct to the best of my knowledge and agree that falsified information or significant omissions is justification for refusal to hire or termination of employment. I understand that this application and any resulting interview is not a contract of employment and employment may be terminated by either party at any time for any reason. I understand that any offer of employment is contingent upon being able to prove eligibility for employment as required by the Immigration Reform Act, satisfactory background checks (including APS/CPS, NE State Patrol, and Sex Offender registries), drug screen, health screen and my ability to meet all the physical standards established by the company as essential job function of the position that I am offered. I understand that Personal Health Care Services LLC will be monitoring my nursing license information from Nursys.com and authorize Personal Health Care Services LLC to do so. Personal Health Care Services reserves the right to administer periodic drug tests. I understand that my employment or continued employment, to the extent permitted by law, is contingent upon satisfactory drug tests. I authorize current and previous employers, personal references, schools, and organizations named on this application to provide Personal Health Care Services LLC with any relevant information that may be required to arrive at an employment decision. I hereby release Personal Health Care Services LLC from any and all liability resulting from this investigation. By submitting, I am certifying that I understand all the questions and statements on this application. If application is submitted electronically by typing your name, I am certifying that I understand all the questions and statements on this application.
  • Enter Your Name