Application Information
Name Barnett, Amanda Lynn Primary Phone +1-903-***-**** [Cell]
Secondary Phone (n/a) Date of Application 07-29-2023 Application ID 469368 Applied to LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
Email Address **************@*******.*** Address 1004 REPUBLIC ST City, State/Province,
Zip/Postal Code,
Country
ARDMORE, OK, 74301, USA County CARTER
Referral Source (n/a) Referral Name (n/a)
Driver's License
Number
080851071 Driver's License State Oklahoma
Driver's License
Country
UNITED STATES License Expiration Date 12-31-2026
Education
Institution Wes Watkins Technology
Center,Graduate School,Wetumka,
OK, USA
Institution Phone
Number
(n/a)
Dates Attended 02/14/2012 - 11/18/2012 Attended As (n/a) Major/Minor Nursing/ Degree LPN
GPA (n/a) Graduated Yes
Institution Green County Technology
center,Graduate School,okmulgee,
OK, USA
Institution Phone
Number
(n/a)
Dates Attended 09/10/2003 - 05/11/2004 Attended As (n/a) Major/Minor Computer Programming/ Degree Oracl and seq data entry GPA (n/a) Graduated Yes
Institution OSUIT,University,Okmulgee, OK,
USA
Institution Phone
Number
(n/a)
Dates Attended 01/14/2014 - 06/16/2015 Attended As (n/a) Major/Minor BSN/ Degree Associates
GPA (n/a) Graduated No
Employment
LIGHTHOUSE BEHAVIORAL
WELLNESS CENTERS
Payroll Profile: 0L194
Application for Peer Recovery Support Specialist (PRSS)
- CSU/URC - Thur-Sat - E/O Wed 8pm-8am - Ardmore - 469368
Generated: (7/30/2023 8:54 AM) Page: 1 of 3
Employer Novo logistics, (n/a), USA Employer Phone Number
Dates of Employment 11/01/2023 To Present
3 Months 1 Day
Job Title Equipment Operator
Job Duties Making sure the right product is
processed and shipped safely
efficiently and on a timely manner.
Filling out aps forms for transfers.
Correlating with multiple departments
and working as a team.
Can Contact? Yes
(N/A)
Reason for Leaving (n/a) Current Employer Yes
Employer Heryetta Community Healthcare and
Skilled rehab, (n/a), USA
Employer Phone
Number
Dates of Employment 07/14/2015 To 03/04/2021
5 Years 7 Months 18 Days
Job Title Skilled Charge Nurse LPN
Job Duties Patient care. MDS, Care Plans, PCP
rounds, correlating POC with
PT/OT/ST, Admissions, Discharges,
Scheduling apt prn, Tele-health, Staff
meetings, Supervised nursing staff
including but not limited to assigning
duties. Corresponding with other
companies to obtain the tools needed
to meet the needs of our patients and
much more.
Can Contact? Yes
(N/A)
Reason for Leaving License renewal Current Employer No References
Name Tabetha Flud Company (n/a)
Title (n/a) Relationship Former colleague
Email Address (n/a) Time Known (n/a)
Phone +1-918-***-****
Name Katherine Ruth Company (n/a)
Title (n/a) Relationship Former colleague
Email Address (n/a) Time Known (n/a)
Phone +1-918-***-****
Questions
LIGHTHOUSE BEHAVIORAL
WELLNESS CENTERS
Payroll Profile: 0L194
Application for Peer Recovery Support Specialist (PRSS)
- CSU/URC - Thur-Sat - E/O Wed 8pm-8am - Ardmore - 469368
Generated: (7/30/2023 8:54 AM) Page: 2 of 3
Question Group 1
Are you a citizen of the United States? Yes
If no, are you authorized to work in the U.S.?
Have you ever worked for this company? No
If yes, when?
Do you have any relatives currently employed at Lighthouse? No If yes, please provide employee name:
Have you ever been convicted of a felony? No
If yes, explain: No conviction
Professional license/certificate? Yes
If yes, indicate type: Lpn
Statement
I certify that my answers are true and complete to the best of my knowledge. If this application leads to my employment, I understand that false or misleading information in my application or interview may result in my release.
Acknowledged
Yes
Signature
Amanda Barnett [07/30/2023]
LIGHTHOUSE BEHAVIORAL
WELLNESS CENTERS
Payroll Profile: 0L194
Application for Peer Recovery Support Specialist (PRSS)
- CSU/URC - Thur-Sat - E/O Wed 8pm-8am - Ardmore - 469368
Generated: (7/30/2023 8:54 AM) Page: 3 of 3