Priority Application

HomeLife Senior Care is committed to equal employment opportunity. We consider all applicants fairly and without regard to race, color, religion, creed, sex (including pregnancy, childbirth, and related medical conditions), gender identity or expression, sexual orientation, genetic information, national origin, ancestry, age (40 or older), disability, citizenship status, veteran or military status, or any other characteristic protected by federal, state, or local law.

We strictly prohibit harassment or discrimination against applicants based on any legally protected status. HomeLife Senior Care also complies with all applicable laws regarding the consideration of unemployment status in hiring decisions.

First Name *

Last Name *

Email 📧 *

Cell Phone Number 📱 *

Are you 18 or over? *

Yes

What zip code do you reside in? *

Which best describes you? 🤔 * *

No caregiving experience.

Family caregiver with 1 year experience

A caregiver, HHA, or CNA with more than 2 years' experience

Do you currently have a valid driver's license and insured vehicle? *

Yes

Are you currently registered with the state of CA as an HCA? (We will assist you if, not) *

Yes, I am!

No, I am not!

What language(s) do you speak? (List all that apply) *

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any false or misleading information may result in disqualification from consideration or, if hired, immediate termination of employment.

I authorize the verification of all information included in this application. I understand that, if selected to move forward in the hiring process with HomeLife, I will be required to provide a TB Screen and Live Scan (Fingerprints). Any offer of employment will be contingent upon the successful completion of a clear background check and TB screening.