Employment Application

Download and Print Blank Application  

Thank you for submitting your application for employment with Leakesville Nursing & Rehabilitation Center. It is our policy to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, or any other reason prohibited by law.

Your application will remain active for 60 calendar days from the date submitted. If you have not heard from us by that time, you may submit a new application. We will be happy to assist or accommodate you in completing your application and/or the application process.

    Name:

    Address:

    City:

    State:

    Zip:

    Phone Number:

    Alternate Phone Number:

    Email Address:

    Are you at least 18 years old?

    Are you authorized to work in the U.S.?

    Position Applying For:

    Upload Your Resume:

    Green Leakesville Logo

    Is your loved one in need of long-term care?

    We look forward to speaking with you. Please provide your name and phone number, and we’ll call you.

    Or you can call/text us at
    (601) 791-1441