Licensed Practical Nurse
LPN for the MI programs. Requires LPN in Alabama and valid AL driver's license.
Start with your present or last job. List all employment experience. Email additional jobs or resume to email@example.com.
Other than Relatives
Applicants for Clinical Positions:
Have you ever had your professional license suspended or revoked, or have you ever been disciplined by your license board?
Applicants for Positions that Include Driving:
Do you have a medical condition that restricts your driving ability (i.e., Insulin dependent, seizures, sight problems, etc.)?
If yes, please explain:
Note: Any item on this form which you feel tends to violate Federal or State Civil Rights of FEPC Legislations need not be completed. We are an Equal Opportunity Employer. A copy of this application is available to you on request.