Employment Application

To apply, complete and submit the electronic form below OR  download Wesbury’s Employment Application to print it, fill it out and mail or hand deliver it to Wesbury.

The information collected on the following page will be used for the sole purpose of determining your employment suitability. It will not be sold or otherwise distributed in any form.

To visit Wesbury’s current employment openings please visit our: Job Opportunities section.

Contact Information

* Are you a US citizen?

* Are you legally authorized to work in the United States?

* Are you below the age of 18? If so, do you have work papers?

* Do you have any relatives or friends working here? , If you said yes fill out the information below:

* Please check the jobs for which you wish to be considered:

Are you able to work weekends and holidays?

I am willing to work:
What shifts are you willing to work?

Were you previously employed by Wesbury United Methodist Community?

Registration License

Professional registration and/or licensure for RN, LPN or CNA:

Military Service
Did you serve in the Military?

Highest Education Level Completed:
Employment History
Please list your present or most recent employer first. Account for complete work history below, or Upload Resume.

Dates Employed

Upload Resume

Personal References

Please list 2 - 3 References (not former employers or relatives). Must have known for at least 2 years.

Additional Info
Tell us a little about yourself and why you would be an asset to Wesbury. (i.e. strengths, weaknesses, abilities as related to job, related experiences, etc.)


1. I hereby certify that the information I have provided in the employment application is true and complete to the best of my knowledge. I understand that if I am hired, the discovery of any false information provided or any relevant information omitted (no matter when discovered) shall result in the termination of my employment.

2. I authorize and instruct Wesbury to make whatever inquiries it deems necessary of any person or organization who is not a consumer reporting agency to verify any of the information I have provided in this application and to determine my qualifications and abilities.

3. In exchange for Wesburyʼs agreement to receive, process and consider my application for employment, I hereby release Wesbury and any and all persons or organizations contacted by Wesbury from any and all claims or causes of action arising out of Wesburyʼs verification of the information I have provided in this application and/or its determination of my qualifications and abilities.

4. I understand that if an offer of employment is made to me it shall be contingent upon my completion of a post-employment offer physical assessment to the satisfaction of Wesbury. I hereby consent to undergo physical examination which may include any and all tests and procedures determined by Wesbury to be helpful in evaluating my suitability for employment, including but not limited to blood tests, urinalysis, X-rays, controlled substance and/or alcohol testing, etc.