Planned Parenthood of the Pacific Southwest - Nurse Practitioner, Physician Assistant, and Certified Nurse Midwife

If hired, can you provide verification of US citizenship or your legal right to work in the US?✱
- Yes
- No
Tell us why you are interested in working for Planned Parenthood.✱
Did someone else refer you to this position?✱
- Yes
- No
If yes, who referred you?
If no, how did you hear about this position?
Address: No. and Street, City, State, Zip Code✱
What is your preferred method of communication?✱
- Email
- Phone
- Text
What name would you like us to call you?

At Planned Parenthood, we are working toward a world where: i. Abortion is understood as a basic human right, an essential part of healthcare, and a normal part of life. ii. All people can talk openly about abortion with sensitivity to the complexity and nuances of individual experiences. iii. Every person is able to make personal decisions about abortion based upon their own beliefs and values. Regardless of your personal beliefs, are you able to perform the essential functions of the job to work with us towards this vision?✱
- Yes
- No
Applicant Statement: I certify that all statements made in this application are true and correct to the best of my knowledge. In the event I am selected to move forward in the recruitment process I authorize Planned Parenthood of the Pacific Southwest (PPPSW) to contact and review any and all sources deemed appropriate to consider my application. I understand that if I become employed by PPPSW, my employment will not be for any specified period of time and that it will be "at will", which means that either PPPSW or I may terminate the employment relationship at any time.✱
- Yes - I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the Applicant Statement.
- No

It is the policy of Planned Parenthood of the Pacific Southwest (PPPSW) that all health center employees and those working in the health center on a regular basis be vaccinated against COVID-19 or wear a surgical mask during flu season and any other period of high COVID-19 transmission. All employees covered under this policy must submit their vaccination record at time of hire or sign the COVID-19 Vaccination Declination Form. Do you agree to comply with PPPSW’s vaccine policy if offered employment?✱
- Yes
- No

Do you have a valid driver’s license?✱
- Yes
- No
Do you have current auto insurance with the outlined limits or are you willing to obtain them?✱
- Yes
- No
Is your driving record clear of any major offenses within the last five years? Major offenses include, failure to obey a traffic flagger or police officer, failure to stop for a school bus/ambulance, driving with a suspended/revoked license, speed racing, speeding (30+ miles over the posted limit), hit and run, attempting to elude a police officer, providing false information to a police officer, driving under the influence of drugs and/or alcohol, and reckless endangerment.✱
- Yes
- No

Hello – You have applied for a position that is represented by SEIU-UHW (Service Employees International Union, United Healthcare Workers-West). If you have any questions, please email Laura Rotter, Sr. Director of Talent Strategy & Benefits at lrotter@planned.org. Thank you. (No response is required.)

Nurse Practitioner, Physician Assistant, and Certified Nurse Midwife