An Equal Opportunity Employer

This application is valid for only 60 days from the date signed.

Incomplete information could disqualify you from further consideration.

Enter your education for each school you attended: High School, College/University, Graduate, Trade, Business. Correspondence School.
Use the " + Add " button below for additional schools.

Last (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time.
Incomplete information could disqualify you from further consideration.
Use the " + Add " button to add more employers.

Give the names of three persons not related to you, whom you have known at least three (3) years. Use the " + Add " button to add references

Upload Word or PDF files Use the " + Add " button to upload additional files.

PLEASE READ CAREFULLY BEFORE SIGNING.

Park Place Behavioral Health Care (PPBHC) is an equal opportunity employer. PPBHC does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for PPBHC to hire me. If I am hired, I understand that either PPBHC or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of PPBHC has the authority to make any assurance to the contrary.

I attest with my signature below that I have given to PPBHC true and complete information on this application. No requested information has been concealed. I authorize PPBHC to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.