Contact Us

Use the form on the right to contact us with general questions or select from the links below for specific services.

Home Health

Private Services

Hospice

Messages will be answered as soon as possible. For urgent matters please call:

636-926-3722 in St. Charles

314-685-3722 in St. Louis

or

618-310-1591 in Illinois

Name *
Name
Phone
Phone
Address
Address

115 Piper Hill Drive Suite 200
St. Peters, Mo 63376
United States

(636)926-3722

1 Company 3 Services. Nurses & Company provides Home Health, Hospice and Private Service Care to the great St. Louis and St. Charles area. As a locally owned and operated company we are proud to care for our neighbors each day. Let us be a part of your health care journey and experience our continuity of care.

Illinois Applicant

If you would like to join us at Nurses and Company, you may submit an online application

(or download our form here. )

We look forward to hearing from you.

Please note that only complete applications will be considered.

Personal Data
Name *
Name
Present Address *
Present Address
Since *
Since
Primary Phone *
Primary Phone
Secondary Phone
Secondary Phone
Availability
Date available to start
Date available to start
If part time please specify available days
Are you willing to work weekends?
Please anser all of the following questions
Are you at least 18 years of age? *
Are you legally eligible to work in the United States *
Are you willing to work overtime when neccessary? *
Have you ever been dismissed or asked to resign from a job? *
Education
Address
Address
Work Experience
Address
Address
Phone Number
Phone Number
Can we contact this employer?
$
Start Date *
Start Date
End Date
End Date
Address
Address
Phone Number
Phone Number
May we contact this employer?
$
Start Date *
Start Date
End Date
End Date
Have you ever applied to Nurses & Company? *
Have you ever been employed by Nurses & Company? *
Date of previous hire
Date of previous hire
Job Related Skills
Do you have reliable transportation? *
Do you have a valid driver's license? *
Are you registered with the Missouri Family Care Safety Registry?
Do you have computer experience? *
Certification- I certify that I have read the instructions and note on page one (1) of this application and that the answers given by me herein are true and complete to the best of my knowledge and belief. I understand that should I be employed, employment shall be on a probationary basis. I further understand that upon completion of the probationary period, that my employment is for no definite period and may be terminated at any time without previous notice. I also understand that if for any reason I am not hired that this application will be kept on file for a period of two (2) years and that I would need to reapply at that time. I hereby authorize any of my former employers or educational institutions to release records pertaining to my application and I release them from any and all liability for any damages in furnishing such records.

This application form is intended for use in evaluating your suitability for employment. Please answer all questions completely and legibly. If a question is not applicable, indicate with N/A. False or misleading statements, whether oral or written are grounds for refusal or termination of employment and benefits. All qualified applicants will receive consideration without discrimination on the basis of sex, marital status, race, age, creed, national origin, citizenship, disability, or any other status protected under state or federal law, and such information may be omitted from this form.


Nurses & Company Missouri Office 115 Piper Hill Drive, Suite 200, St. Peters, Missouri 63376
Nurses & Company Illinois Office 5011 N. Illinois, Suite 2 Fairview Heights IL 62208
Offices open Monday through Friday 8:00am - 4:30pm
St. Charles County 636-926-3722   St. Louis County 314-685-3722 
Illinois 618-310-1591  Fax 636-926-3872

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