2900 Westown Parkway, Suite 200
West Des Moines, IA 50266
Nurse Force is an Equal Opportunity Employer. If applicable to Company, reasonable accommodation under the Americans with Disabilities Act will be provided as required by law
Please note that a "*" indicates a required field
If we cannot contact you at the above numbers, please provide an alternate number where we may contact you.
Any offer of employment is conditioned upon completing form I-9 and providing the appropriate documents for
identity and work authorization.
If under 18 years of age, you will be required to submit a birth certificate or work certificate as required
by Iowa or federal law.
The majority of our clients may need assistance with transportation for Dr. appointments, errands, etc. Do
you (Check appropriate response):
If you have your own car, do you have:
Briefly describe why you chose a career in health care, and any previous experience you have had in the field
of health care.
Note: These are not required, but any you can provide are greatly appreciated!
By submitting this application, I certify that all of the information provided in this employment application
true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this
application, including a criminal background and credit history check. I understand that any false or incomplete
may disqualify me from further consideration for employment and may result in my immediate discharge if
discovered at a later date.
I understand and acknowledge that unless otherwise defined by applicable law or written agreement with Nurse
Force, any employment
relationship with the Nurse Force is considered “employment at will.” This means the Employee may resign at any
time and the
Employer may discharge the Employee at any time, with or without cause, and with or without advance notice.
I authorize the investigation of any or all statements contained in this application and also authorize any
current employer, past employers, and other organizations to provide information concerning my previous
employment and other
relevant information that may be useful in making a hiring decision. I release such persons and organizations
from any legal liability
in making such statements.
I have read, understand, and agree to the above statements.
We reserve the right to request a signed application.