Priority Application
πCongrats! You've been invited to complete our priority application!
First Name
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Last Name
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Email π§
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Cell Phone Number π±
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City
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Zip code
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Which best describes you? π€ *
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No caregiving experience but I am excited about starting a new career as a caregiver
Family caregiver who would like to help others
Caregiver, HHA with less than 2 years experience caring for non family member
Caregiver, HHA with more than 2 years experience caring for non family member
Caregiver with CNA Certification
Drivers License ππ
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Yes, I have a current and valid driver's license
No, I do not have a drivers license at this time
Auto Insurance π₯π
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Yes, I have auto insurance
No, I do not have auto insurance at this time
Can you drive your vehicle to and from shifts?
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Yes! I have a car that is reliable!
No! I rely on other people, buses or lyft/uber to get around!
What kind of shifts are you looking for? (Please select all that applies)
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Day
Evening
Overnight
4 Hour
8 Hour
12 Hour
How far are you willing to travel for work?
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15 minutes
30 minutes
45 minutes
1 hour or more
We Do A Background Check And Go Back 15 Years. Is There Anything That Would Cause You To Not Pass A Background Check? (kindly type your answer below)
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Offers of employment are contingent upon results of a thorough background check & drug screen.
GET HIRED!