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Caregiver Application

Job Description:

The main function of the Care Provider is to provide care for the client in a safe, secure, professional environment which meets their needs. Care Providers help assist with the activities of daily living such as bathing, dressing, grooming, personal hygiene, continence care, meal preparation, medication reminders, as well as, overall supervision of the clients' physical and mental wellbeing. The care provider also assists with environmental services such as housekeeping and homemaking . Must be able to work week-end at times.

Our Mission: " We believe that every client should be provided courteous, kind, and loving assistance when they need it."

Qualifications:

- CNA preferred, not required

- Personal Caregiver experience but not required

- Pass a criminal background check

- Reliable transportation

- Must be 18 years or older

- Valid drivers license

First Name

Last Name

Birthday

Sex

Street Address

Street Name City State Zipcode

Social Security Number (SSN):

Highest Level of Education

Phone

Employment Eligibility (Check yes if applicable) Required

I am legally eligible to work in the U.S

I have NEVER been convicted of a felony

I am willing to undergo a background check

I am willing to take a TB Test

I am willing to take a COVID-19 Test

Upload Resume

Do you have reliable transportation?

Yes

Desired Pay

Certifications/Skills:

I have been convicted of a felony..

DISCLAIMER: Applicant understands that this is an Equal Opportunity Employer and committed to excellence through diversity. In order to ensure this application is acceptable, please print or type with the application being fully completed in order for it to be considered. Please complete each section EVEN IF you decide to attach a resume. I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated.

Date

Your Signature

Thank you for applying.

Caregiver Application

Job Description:

The main function of the Care Provider is to provide care for the client in a safe, secure, professional environment which meets their needs. Care Providers help assist with the activities of daily living such as bathing, dressing, grooming, personal hygiene, continence care, meal preparation, medication reminders, as well as, overall supervision of the clients' physical and mental wellbeing. The care provider also assists with environmental services such as housekeeping and homemaking . Must be able to work week-end at times.

Our Mission: "We believe that every client should be provided courteous, kind, and loving assistance when they need it."

Qualifications:

- CNA preferred, not required

- Personal Caregiver experience but not required

- Pass a criminal background check

- Reliable transportation

- Must be 18 years or older

- Valid drivers license

First Name

Last Name

Birthday

Address

Upload Resume

Social Security Number (SSN)

Highest Level of Education

Phone

Do you have relaible transportation?

Yes

Desired Pay

Certifications/Skills

Employment Eligibility (Check if applicable) Required

I am legally eligible to work in the U.S.

I have NEVER been convicted of a felony

I am willing to undergo a background check

I am willing to take a TB Test

I am willing to take a COVID-19 Test

I have been convicted of a felony...

Date

Your Signature

Thank you for applying!

Caregiver Application

Job Description:

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Our Mission: " We believe that every client should be provided courteous, kind, and loving assistance when they need it."

​

Qualifications:

- CNA preferred, not required

- Personal Caregiver experience but not required

- Pass a criminal background check

- Reliable transportation

- Must be 18 years or older

- Valid drivers license

Caregiver Application

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