Employment Request | American Safety Programs and Training

Welcome to our Employment Request page.

This page is reserved for our former and current students of the American Safety Programs and Training/Real Jobs Program.

On this page, you will find a form below. If you are in need of employment either Full-time, Part-time or Per-diem then please fill out the form.

The facility you select will receive your employment inquiry and will contact you either via E-Mail or Telephone to apply.

If you would like to learn about the facilities we partner with, click RIGHT HERE to learn more about them!

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Confirm Email

Phone *

Do you have your own transportation? *

Status of CNA license *

If you do not have a CNA license select N/A

Facility that you are applying for. *

The selected facility will contact you either by E-Mail or Phone to apply. (We may forward your application to other employers if your choice is not hiring.

Signature *

I authorize American Safety Programs and Training INC to forward my information to possible employers for the purpose of seeking employment.

Name