First Name
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Last Name
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Phone
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Email
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Where are you located?
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Sedona / Village of Oak Creek
Cottonwood / Verde Valley
Prescott / Prescott Valley
Flagstaff
Other
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Area of Interest
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Home Care (Person-Centered Service)
Household Management (Home-Focused Service)
Alzheimers & Dementia
Stroke, Parkinson's, Hospice Support
Live-In
Concierge (ability to work within a 2 hour notice)
Other
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Please explain
What is your preferred shift duration?
4 hour shifts or less
6 hour shifts
8 hour shifts
10 hour shifts
12 hour shifts
24 hour shifts (Live-in)
Please upload a resume if you would like to.
Were you referred to this position by a current employee?
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Yes
No
Who referred you?
Are you a certified nursing assistant or home health aide?
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Yes
No
How many years of home care work experience do you have?
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Less than 2 years
2 years or more
Website opt-in
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