Professional Therapy and Rehab Services

Our Toll Free numbers are:

Tel: 866-544-PTRS
Fax: 866-654-PTRS

Please Click Here to download the Employment Application.

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This is an equal opportunity employer. Federal and state laws prohibit discrimination in employment practices because of race, color, religion, age or national origin. No question on this application is asked for the purpose of limiting or excluding any applicant's consideration for employment (because of his or her race, color, religion, age, sex or national origin).

Personal Information:

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*Position applied for:

*Date:

Referral Source:

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*Full Name:

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*Address:

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Have you ever applied for employment with us?	Yes	No
If yes, what year?


If you are under 18 years of age, can you provide requires proof of your eligibility to work?	Yes	No


Are you authorized to work in the United States?	Yes	No

*Date Available to begin work


*Preferred Setting
*Preferred Geographic location
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Education 1:

*School or Program Name
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*Degree/Level Attained
*Completion Date
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Education 2:

School or Program Name
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Employment History 1:

*Company Name
*Company City/State
*Formal Title
*Start Date
*End Date
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Employment History 2:

Company Name
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PLEASE READ CAREFULLY BEFORE SENDING

I CERTIFY THAT ALL STATEMENTS MADE BY ME ON THIS APPLICATION ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.

I AUTHORIZE: PROFESSIONAL THERAPY & REHAB SERVICES, INC.

TO MAKE A THOROUGH INVESTIGATION OF MY PREVIOUS EMPLOYMENT HISTORY AND ALL OTHER FACTS STATED ON MY APPLICATION FOR EMPLOYMENT. I UNDERSTAND THAT A COMPLETE BACKGROUND SCREENING WILL BE CONDUCTED AS A PREREQUISITE FOR EMPLOYMENT TO INCLUDE LICENSE/CERTIFICATION VERIFICATION, CRIMINAL BACKGROUND CHECK AND ABUSE SCREENING IN ORDER TO DETERMINE WHETHER THE MINIMUM STANDARDS OF GOOD MORAL CHARACTER FOR HOME HEALTH AGENCY PERSONNEL HAVE BEEN SATISFIED. SUBSEQUENTLY, BACKGROUND/LICENSE FAILURES COULD RESULT IN THE TERMINATION OF EMPLOYMENT IF FOUND TO BE IN NONCOMPLIANCE WITH THE MINIMUM STANDARDS OF GOOD MORAL CHARACTER. I HEREBY RELEASE FROM LIABILITY OR RESPONSIBILITY ALL INDIVIDUALS, BUSINESS ESTABLISHMENTS, EMPLOYER, EDUCATIONALN INSTITUTIONS AND/OR AGENCIES SUPPLYING SUCH INFORMATION.

IN CONSIDERATION OF MY HIRING AND EMPLOYMENT BY PROFESSIONAL THERAPY & REHAB SERVICES, I AGREE NOT TO ACCEPT EMPLOYMENT DIRECTLY OR INDIRECTLY WHETHER FULL-TIME, PART-TIME OR ON A CONTRACTUAL BASIS WITH ANY CLIENT OF PROFESSIONAL THERAPY & REHAB SERVICES TO WHOM I AM ASSINGED AND FOR A PERIOD OF ONE YEAR FOLLOWING COMPLETION OF ANY ASSIGNMENT WITH THE CLIENT AND NOT TO ACCEPT ASSIGNMENT TO WORK FOR SUCH CLIENT EITHER ON ITS PREMISES OR AS THE EMPLOYEE OF A THIRD PARTY WITHIN THE CITY OR TOWN IN WHICH THE SPECIFIC WORK SITE TO WHICH I AM ASSIGNED AND PROFESSIONAL THERAPY AND REHAB SERVICES IS LOCATED. I HEREBY AGREE TO INFORM YOU IF I HAVE BEEN OFFERED PERMANENT EMPLOYMENT WITH ANY COMPANIES THAT I HAVE WORKED THROUGH THIS CONTRACTING SERVICE.

IF I AM EMPLOYED, I AGREE TO ABIDE BY THE POLICIES AND RULES OUTLINED BY THE EMPLOYER. MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH OR WITHOUT CAUSE, AND WITHOUT NOTICE, AT ANY TIME, AT THE OPTION OF EITHER EMPLOYER OR MYSELF. I UNDERSTAND THAT NO EMPLOYEE OR REPRESENTATIVE OF EMPLOYER, OTHER THAN THE PRESIDENT, HAS THE AUTHORITY TO ENTER INTO ANY AGREEMENT OR CONTRACT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OF TIME OR TO MAKE ANY EMPLOYMENT AGREEMENT OR CONTRACT CONTRARY TO THE FORGOING.

I REPRESENT AND WARRANT THAT I HAVE READ AND FULLY UNDERSTAND THE FOREGOING AND SEEK EMPLOYMENT UNDER THESE CONDITIONS.