Where innovative healing, teaching, and discovery come together.
Visit our Location
44 Varet Street, Brooklyn, NY
Give us a Call
(718) 388-0220
Hours
M-F: 9A-5P | On-call 24/7

    TO APPLICANT: We deeply appreciate your interest in our organization. Thank you for taking the time to complete this application.

    It is the policy of the Agency to provide Equal Employment Opportunity with regard to all terms and conditions of employment. The Agency complies with Federal, State, and Local Laws prohibiting unlawful discrimination on the basis of race, creed, color, national origin, sex, sexual orientation, affectional preference, age, disability, marital status, or citizenship.

    Personal Info

    Items with *asterisk are required

    Are you legally eligible for employment in the United States?
    YesNo
    Are you 18 years of age or older?
    YesNo

    If no, hire is subject to verification that you are of minimum legal age.

    Were you previously employed by us?
    YesNo

    If YES, when?

    Employment History

    Educational History

    Personal References

    (No Former employers or Relatives)

    PLEASE READ AND SIGN BELOW

    The facts set forth in my application for employment are true and complete. I understand that if employed, any false statement on this application may result in my dismissal. I understand that my social security number will be checked against both the Federal and State’s Medicaid exclusion databases to verify if I’ve been excluded/terminated from a Medicaid Program. I further understand that this application is not and is not intended to be a contract of employment, nor does this application obligate the employer in any way if the employer decides to employ me. No one other than an officer of the company has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing and then only in writing and signed by an officer.