Apply Online Join our team and experience what it feels like to be a valued team member! Are you 18 or over?* Yes No Unfortunately we can only consider staff members that are at least 18 years old or older. Please come back when you are at least 18 years old. PERSONAL INFORMATIONName* First Middle Last Phone*Email* Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code EMPLOYMENT DESIREDPOSITION*Date You Can Start* Date Format: MM slash DD slash YYYY Salary DesiredShift Preferred?Choose OneAMPMNight ShiftStatus*Full TimePart TimeTemporaryAre You Currently Employed?YesNoMay We Contact Your Current Employer?YesNoHave You Ever Worked For Foothills Rehabilitation Center?*YesNoWhen?*Please tell us when you were employed by Foothills Rehabilitation Center.Have You Ever Applied at Foothills Rehabilitation Center?*YesNoWhen?*Please tell us when you last applied for work at Foothills Rehabilitation Center.Do You Have Friends or Family Employed Foothills Rehabilitation Center?*YesNoPlease Provide Their Name & Department*How Did You Learn About This Opportunity?*AdvertisementReferredWho Referred You?*EDUCATION HINT: Use the "+ Add Row or - Delete" to be sure you provide as much information as possible.High SchoolNameCity & StateCourses TakenCompletedDegree or Certificate CollegeNameCity & StateCourses TakenCompletedDegree or Certificate Graduate SchoolNameCity & StateCourses TakenCompletedDegree or Certificate Vocational / Business SchoolNameCity & StateCourses TakenCompletedDegree or Certificate Extracurricular ActivitiesMember of Professionnal OrganizationsVolunteer Community ServiceProfessional Licenses and/or CertificationsTypeOrganization or State IssuedDate IssuedNumber Employment Record (most recent positions first)HINT: In order for your application to be considered we will need a complete work history. Use the "+ Add Row or - Delete" to be sure you provide as much information as possible.Company NameAddressSupervisorPhoneStart DateEnd DateStarting SalaryEnding SalaryPosition / DutiesReason for Leaving If your former employment references or education references are under another name other than the one listed at the top of this application please indicate belowFirstLast Have you ever been convicted of a crime?*Conviction of a criminal offense will not necessarily preclude your employment.YesNoWhen & Where?OtherUse this space to give us further information, which will assist us in placing you, including at least two personal references not related to you, who you have known at least one year.Applicant Acknowledgement and Certification*I hereby certify that I am the person who's name is in the name field of this application and understand that this information will be reviewed and verified by the facility as necessary in consideration for employment. I hereby authorize the facility to contact any and all businesses, educational facilities and references herein. Privacy Notice Agreed PhoneThis field is for validation purposes and should be left unchanged.