We do not discriminate on the basis of age over 40, race, sex, color, religion, national origin, disability, or any other applicable status protected by state or local law. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors.
Each question should be fully and accurately answered. No action can be taken on this application until all questions have been answered. Use blank paper if you do not have enough room on this application. PLEASE PRINT, except for signature on back of application. In reading and answering the following questions, be aware that none of the questions are intended to imply illegal preferences or discrimination based upon non-job-related information.
Brevard County
License #299993831
500 N Washington Ave., Suite 108
Titusville, FL 32796
Tel: 321.267.2950
Fax: 321.264.7491
Business Hours: 8:30AM – 5PM
Volusia County
License #299994449
2140 South Riverside Dr., Suite 24
Edgewater, FL 32141
Tel: 386.410.5600
Fax: 386.410.5601
Business Hours: 8:30AM – 5PM
To report concerns about patient safety and/or quality of care please contact:
WayPoint Management 321.267.2950 or Joint Commission 630.792.5800