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Full Name
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Email Address
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Phone Number
Current City & State
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LinkedIn Profile (optional)
Position Applying For
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Employment Type
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— Select Choice —
Full-time
Part-time
PRN / Per Diem
Work to in
Work Setting Preference
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— Select Choice —
Remote
Hybrid
In-person
If Part-time or PRN, Maximum hours available per week
Desired Compensation Range
$0.00
Are you legally authorized to work in the United States?
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No
Will you now or in the future require employer sponsorship for employment visa status?
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Yes
No
Earliest Available Start Date
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Are you willing to relocate?
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Yes
No
If yes: Would you require relocation assistance?
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Years of Experience
Selected Value:
1
Relevant Experience
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— Select Choice —
Long-Term Care
Skilled Nursing
Assisted Living
Clinical/Hospital
Outpatient/Private Practice
Registered Dietitian (RD/RDN)?
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Yes
No
State Licensure
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Resume Submission, Attach resume (PDF, DOC, DOCX)
Portfolio/Additional Documents Link
Do you have experience in long-term care or skilled nursing?
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Yes
No
Are you comfortable working within CMS and regulatory guidelines?
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Yes
No
Have you completed QAPI or clinical documentation in a facility setting?
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Yes
No
Compliance & Consent
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— Select Choice —
I certify the information provided is accurate and complete
I understand false information may result in disqualification or termination
I consent to be contacted regarding this application (optional)
Clinical/Hospital
Outpatient/Private Practice
Employment is contingent upon successful background screening in accordance with applicable laws
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Acknowledged
CSR Nutrition participates in the E-Verify program to confirm employment eligibility
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Acknowledged
CSR Nutrition is an equal opportunity employer and does not discriminate based on protected characteristics
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Acknowledged
If you require accommodation to complete this application, contact hr@csrnutrition.com
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Acknowledged
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