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Personal Care Attendant / Direct Care Worker
Phoenix Metro Area
,
AZ
,
USA
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Application Form
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First Name *
Last Name
Email *
Phone *
Resume
Address *
Do you have prior personal or professional experience as a caregiver? *
--Select--
Yes
No
Are you at least 18 years of age? *
--Select--
Yes
No
Do you have access to reliable transportation when needed? *
--Select--
Yes
No
Do you have a current CPR Certification? *
Yes
No
Willing to obtain before hire
Do you have a current Basic Life Support (BLS) First Aid Certification? *
Yes
No
Willing to obtain before hire
Do you have a negative TB skin test or chest x-ray (valid within 6 months)? *
Yes
No
Willing to obtain before hire
Are you able to provide 3 references, including 1 professional reference from a former employer? *
--Select--
Yes
No
What's the highest level of education you have achieved?
--Select--
Doctorate
Masters
College
Vocational School
GED
High School Diploma
None of the above
Which languages do you speak in addition to English (if any)? *
Spanish
Cantonese
Mandarin
French
German
Tagalog
Vietnamese
Italian
Korean
Russian
Polish
Arabic
Portuguese
Japanese
Hebrew
Hindi
Persian
Navajo
Other
None
Which days of the week are you available to work? *
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
When do you prefer to work during the day? *
Mornings
Afternoons
Evenings
Overnights
Please list any specific times and days that you would be unavailable to work:
How many hours per week do you wish to work? *
--Select--
Part-time: less than 32 hours
Full-time: greater than 32 hours
Do you have the lawful right to live and work in the U.S.? *
--Select--
Yes
No
Have you ever been convicted of a criminal offense, other than a minor traffic violation? *
--Select--
Yes
No
If "Yes", please explain what, when, and where the offense occurred:
Thanks for your time
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