Thank You for your interest in our career opportunities! Fill out the application below to get started!
Please Indicate purpose of application: (choose one or both):
*Many caregiver positions require the caregiver to transport a client
Begin with the most recent. Please go back at least five years and tell us about your work history. Use reverse side of sheet if additional space is required.
CERTIFICATION AND RELEASE: I certify that I have read and understand the application note on page one of this form and that the answers
given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I
understand that any false information, omissions, or misrepresentation of facts called for in this application may result in rejection of my
application or discharge at any time during my employment. I authorize the company and/or its agents, including consumer reporting bureaus,
to verify any information including, but not limited to, criminal history and motor vehicle driving records. I authorize all persons, schools,
companies, and law enforcement authorities to release any information concerning my background and hereby release any said persons,
schools, companies, and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also
understand that the use of illegal drugs is prohibited during employment. Company policy requires submitting to drug testing to detect the use
of illegal drugs prior to and during employment. I understand that I am required to abide by all rules and regulations set forth by the employer. I
also understand that if hired, I will be an at-will employee and both parties have the right to terminate employment at any time.
FOR THIS TYPE OF EMPLOYMENT, STATE LAW REQUIRES A NATIONAL AND STATE BACKGROUND CHECK AS A CONDITION OF EMPLOYMENT.