Come Work With Us Are you an experienced healthcare provider or interested in a career in assisted living care? If you are interested in coming to work with our team, please use the following form to tell us about yourself. Full Name First Last Date of Birth Date Format: MM slash DD slash YYYY PhoneCurrently Employed?YesNoDesired SalaryWhat days can you work?* Monday Tuesday Wednesday Thursday Friday Saturday Sunday What Shifts Can You Work?* Days Evenings Weekends How Many Days Can You Work?1234567Are you legally eligible for employment in the U.S.?YesNoNegative TB skin test of chest X-ray in the last 12 months?YesNo Must have a valid Arizona drivers license. Must have reliable transportation. Must be able to show valid proof of car insurance.