Priority Application

Congratulations, you are invited to complete our priority application!

You are applying to be a Catalina Caregiver. Caregiver duties include (but are not limited to) assisting clients with a variety of tasks such as: activities of daily living, ambulation, medication reminders, care task documentations, taking vital signs, communicating with the Nurse, reporting client concerns/changes, light housekeeping, meal preparation, transportation, and companionship. Catalina Caregiver’s only provide care for one client at a time.

Please tell us about yourself.

First Name *

Last Name *

Email *

Cell Phone Number *

1. Are you at least 21 years of age? *

a. Yes

b. No

2. Are you First Aid and CPR Certified? *

a. Yes

b. No

3. Do you have a reliable vehicle to drive to and from caregiving shifts? *

a. Yes, I have a car that is reliable.

b. No, I rely on other people, buses or lyft/uber to get around.

4. Do you have a valid Driver's License? *

a. Yes, I have a current and valid driver's license

b. No, I do not have a driver's license at this time

5. Do you have proof of car insurance? *

a. Yes, I have auto insurance

b. No, I do not have auto insurance at this time

c. Does not apply to me.

6. Have you been vaccinated for Covid? *

a. Yes, I can provide proof of Covid vaccination.

b. No, I am not Covid vaccinated

7. Do you have a fingerprint clearance card? *

a. Yes

b. No

8. Tell us about your formal training to provide care. Select the choice that best describes you. *

a. I am a CNA or I have an expired CNA license

b. I am a State Certified Caregiver

c. I am a State Certified MA or PCT

d. I have more than 2 years of on the job training working in a Nursing Home or Assisted Living Facility

e. I received 62+ hours of formal classroom and skill lab training in another state but it was called something different than Certified Caregiver, CNA, MA, or PCT

f. I have never received formal training but I am excited to learn.

g. None of these apply to me.

9. Tell us about your professional work experience providing HANDS ON care to patients. Select the choice that best describes you. *

a. I have MORE than 1 year of professional work experience caring for seniors in a nursing home, rehab, assisted living, hospital, or with a home care company.

b. I have LESS than 1 year of professional work experience caring for seniors in a nursing home, rehab, assisted living, hospital, or with a home care company.

c. I have MORE than 1 year experience providing care to senior family members or private senior clients

d. I have LESS than 1 year experience providing care to senior family members or private senior clients.

e. I am brand new to hands on caregiving for seniors