Application for Employment

Westbrook Health Services is an Affirmative Action Employer and it is our policy to afford equal opportunity to all employees and applicants. We comply with all Federal, State and Local regulations as they pertain to Affirmative Action and Equal Employment Opportunity. Westbrook Health Services - A Drug Free Work Place.

Westbrook Health Services is pleased to offer a variety of options with which you may apply for employment. Please scroll down to review those options.


The Westbrook Health Services Online Job Application :
Personal Information
Last Name:
 First Name:
 Middle Initial:
Social Security Number:
 Home Phone Number:
Street Address:
City:
 State:
 Zip Code:
How long have you lived at this address? :
E-Mail Address:
Date Available for Work (xx/xx/xx):
Salary Requirements:
If you are not a US citizen,do you have the right to remain permanently in the U.S.?:
Documentation permitting you to work in U.S. (if not a U.S. Citizen):
Are you under 18 years of age?
What prompted your application to Westbrook Health Services? (please be specific)
Referred by (name):
 Phone Number:
Criminal Record
Have you ever been convicted of a crime?
A conviction does not automatically mean you cannot be hired. The type of offense and length of time since conviction are important factors. Please provide all of the facts so that a decision can be made. Please, list all residences for the last 10 years; list convictions other than minor traffic violations and describe the charge, location and whether convicted.
Education/Training
Describe your formal education or training, including schools attended, diploma/degrees awarded and major course of study. Include information regarding licensure or certification.
Work/Experience History
Describe work record beginning with your most recent employment. Include the following information: 1) dates of employment, 2) position title, 3) name, address and phone number of employer, 4) summary of duties, 5) salary, 6) manager's name and 7) reason for leaving.
Supplemental Information
Describe special qualifications, accomplishments, reasons for seeking position, reasons for gaps in employment or other information you believe will assist Westbrook Health Services, Inc. in evaluating your application. This organization is an equal opportunity employer and does not discriminate on the basis of age, race, color, national origin, religion, sex or disability. Please do not include such information on this form.
Your Resume
If Your Resume is posted on the internet, please tell us where to find it:
URL for your Resume:

Or email your resume as an attachment to:
Human Resources Director




If you do not wish to use the online job application form, this document is also available in:
( wordicon Microsoft Word ) and ( wpicon Word Perfect 6.0 ) formats.

Get Your Job Application or Resume to Westbrook:

Call About Your Job Application and/or Resume:
(304) 485-1721
Attn: Human Resources Director - Internet Applications


Westbrook Health Services, Inc. is a Drug Free Workplace and an Equal Opportunity Employer.

All internet applications are reviewed by the Westbrook Health Services, Inc. Human Resources Department and appropriate Managers. If your background and experience are a good fit for a current vacancy, you will be contacted for an interview. If there are no openings that match your qualifications at this time, your application will be kept on file for one year and reviewed as additional openings occur. Please note: It may be necessary for you to fill out another application form prior to employment.