Employment Application


Bethel Lutheran Nursing & Rehabilitation Center and Arbor House Assisted Living are an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Applicants requiring reasonable accommodation in the application and/or interview process should notify a representative of the organization.

Bethel Lutheran Nursing and Rehabilitation Center              Arbor House

Job Applying for

General Information

Personal Data

At least 16*    

Have you ever applied to/worked for Bethel Lutheran Nursing & Rehabilitation Center before?*    

Have you ever been convicted of, or pled guilty or no contest to, a crime other than a minor traffic violation?*    

This information will not necessarily disqualify you from employment but false or misleading information will. Factors such as age and time of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account.

Professional Licenses, Certificates, and Permits

List All Professional License, Certificates or Permits:

Name State Number Expiration Date

Have you ever had a professional license disciplinary action, or has your license ever been revoked, suspended, restricted or modified in any state?*    

If you do not have a required registration or license, have you applied for one?    

If not licensed in North Dakota, have you applied for reciprocity?