Dear Candidate,

At My Friend’s A Nurse Maternal & Newborn Services, we offer more than just a job; we offer a fulfilling career where your compassion and expertise make a meaningful impact every single day. With flexible scheduling, competitive pay, and a deeply supportive team culture, we’re looking for dedicated professionals who are ready to grow, serve, and thrive.

To make your application process as smooth as possible, we recommend gathering the following ahead of time:

Digital copies of your certifications
Personal identification (including SSN and driver’s license)
Employment history
Professional references

You can also scroll through the application form first to preview the questions and requirements.

My Friend’s A Nurse is proud to be an equal opportunity employer. We value diversity and are committed to creating an inclusive, respectful environment for all members of our team.

Warmly,

The My Friend’s A Nurse Hiring Team

Attach your Resume

Resume *

Please attach your resume. You may upload a .pdf, .doc, .docx, or .txt version.

Applicant Information

First Name *

Last Name *

Email *

Phone *

Home/Other Phone

Are you either a United States citizen or resident authorized to work in the United States? *

Yes

Were you referred by anyone? *

Yes

Referral Reference

Driver’s License State *

Expiration Date *

Professional License Number *

Professional License State *

Expiration Date *

Driver’s License Number *

Are you 18 years of age or older? *

Yes

Social Security Number: *

Position

Desired Rate of Pay

Positions *

RN - Registered Nurse / Case Manager
LVN - Licensed Vocational Nurse
CHHA - Certified Home Health Aide
PT - Physical Therapist
PTA - Physical Therapy Assistant
OT - Occupational Therapist
OTA - Occupational Therapy Assistant
ST - Speech Language Pathologist
MSW - Medical Social Worker
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Job Description *

By checking this box I acknowledge that I have read the job description, essential job functions, responsibilities, qualifications, and all requirements.

Have you ever been convicted, fined (excluding minor traffic offences), placed on probation or given a suspended sentence in any court, including Medicare fraud? *

Yes

Have you ever been fired or asked to resign? *

Yes

Education

Highest Level of Education Completed: *

High School Diploma

General Equivalency Diploma (GED)

College

Doctorate

Highest Level Education School Name *

Degree Received *

Emergency Contact

Contact Name *

Contact Phone *

Contact Address

Relationship *

Professional References

First Professional Reference:

Reference's Name

Reference's Title

Reference's Phone Number

Number of Years Known

Second Professional Reference:

Reference's Name

Reference's Title

Reference's Phone Number

Number of Years Known

Third Professional Reference:

Reference's Name

Reference's Title

Reference's Phone Number

Number of Years Known

Former Employers

Please provide your most recent positions of employment.

Employer Name *

Employer Phone *

Duration of Employment *

From Date - To Date

Salary/Wages *

May we contact for reference? *

Yes

Later

Employer Name

Employer Phone

Duration of Employment

From Date - To Date

Salary/Wages

May we contact for reference?

Yes

Later

Preferences

What areas are you willing and able to travel to see patients?

LA County Office

Arcadia

Calabasas

Chatsworth

Downey

Granada Hills

Los Angeles

North Hollywood

Palmdale

Reseda

Santa Monica

Sun Valley

Tujunga

West Hollywood

Woodland Hills

Beverly Hills

Canoga Park

Compton

Encino

Inglewood

Malibu

Northridge

Pasadena

San Fernando Valley

Sherman Oaks

Sunland

Torrance

Whittier

Burbank

Carson

Culver City

Glendale

Lancaster

Mission Hills

Pacoima

Redondo Beach

Santa Clarita

Studio City

Sylmar

West Hills

Winnetka

Ventura County Office

Agoura

Moorpark

Oakview

Port Hueneme

Somis

Westlake Village

Camarillo

Newbury Park

Ojai

Santa Paula

Thousand Oaks

Fillmore

Oak Park

Oxnard

Simi Valley

Ventura

Other Areas

Review the Patient Records State Mandate Compliance Acknowledgment HERE

Patient Records State Mandate Compliance Acknowledgement *

I acknowledge that I have read the notice and agree to comply with the above-mentioned State and Agency Regulations.

Hepatitis Vaccine Policy Acknowledgement *

I am declining to receive the vaccination at this time

I have already been vaccinated against the Hepatitis B virus

Agreement Statement *

I understand that submitting information is an application and does not guarantee or imply employment.

Signature *

Clear

Signature Date *

Attach your Resume

Other Required Documents

Applicant Information

Position

Education

Emergency Contact

Professional References

Former Employers

Preferences