Job Application Form Full Name * First Name Last Name Phone * Email * What job are you applying for? * LPN RN How did you hear about us? Is your license currently active? * Yes No What city do you live in? What is your availability? Monday day Monday night Tuesday day Tuesday night Wednesday day Wednesday night Thursday day Thursday night Friday day Friday night Saturday day Saturday night Sunday day Sunday night Consent * I consent to receive SMS from Shelby Healthcare. Reply STOP to opt-out; Reply HELP for support; Message and data rates apply; Messaging frequency may vary. Visit https://www.shelbyhealthcare.com/privacy to see our privacy policy and https://www.shelbyhealthcare.com/terms to see our Terms of Service. Thank you for your application! We will be in touch.