Careers

IT IS THE POLICY OF CARINGGIVERS, LLC TO OFFER EQUAL EMPLOYMENT OPPORTUNITIES TO ALL QUALIFIED APPLICANTS AND EMPLOYEES WITHOUT REGARD TO RACE, COLOR, AGE, RELIGION, SEX, MARITAL STATUS, GENETIC INFORMATION, DISABILITY, NATIONAL ORIGIN, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, PERSONAL APPEARANCE, MATRICULATION, POLITICAL AFFIILIATION, FAMILY RESPONSIBILITIES, OR ANY OTHER PROTECTED CHARACTERISTIC. THIS POLICY APPLIES TO ALL AREAS OF EMPLOYMENT, INCLUDING RECRUITMENT, HIRING, TRAINING AND DEVELOPMENT, PROMOTION, TRANSFER, TERMINATION, LAYOFF, COMPENSATION, BENEFITS, AND ALL OTHER TERMS, CONDITIONS AND PRIVILEGES OF EMPLOYMENT. APPLICANTS ARE ENCOURAGED TO REQUEST ANY NEEDED ACCOMODATION TO PARTICIPATE IN THE APPLICATION PROCESS.

  • Personal Information
  • References
  • Educational Information
  • Work History
PERSONAL AND GENERAL INFORMATION

*Last Name

*First Name

Middle Name


Address

*Street No#

*City

*State

*Zip Code


Mailing Address (If Different)

Street No#

City

State

Zip Code

Home Phone

Cell Phone

Message Phone

*E-mail

Are you 18 years of age or older?

*List other names and aliases you have been known by

Placement you are seeking

*Hours preferred per week

*Certifications/Licenses

 

*Please include copy of any license(s) with your application

Has your license ever been limited, suspended, or revoked

Please explain

Are you legally authorized to work in the United States on a permanent basis?

If the answer is “no,” can you certify that if offered employment you can produce documents to establish your identity and that you are legally authorized to work in the U.S.

Have you ever applied here before?

Please give date(s)

Do you have family members or friends employed at CaringGivers, LLC

Please list names

 

 


TRANSPORTATION

Some clients require transportation. Do you have a current Driver’s License?

Proof of auto insurance?

PERSONAL REFERENCES

A minimum of three (3) references, including complete mailing addresses, is required. Do NOT use family members or past supervisors.

Name

City

State

Zip

Relationship

Telephone

Name

City

State

Zip

Relationship

Telephone

Name

City

State

Zip

Relationship

Telephone

EDUCATION


Undergraduate / College

Name of School

Address of School

Course of Study

Years Completed


Graduate / Professional

Name of School

Address of School

Course of Study

Years Completed


Other – Specify

Name of School

Address of School

Course of Study

Years Completed


SPECIALIZED EXPERIENCE, VOLUNTEER WORK, TRAINING/SKILLS

Indicate months/years of experience for all that apply – for example

Time Frame

Time Frame

Time Frame

Time Frame

TRANSFERS

 

What work duties are you NOT willing to do?


HOBBIES/INTERESTS

Please list any skills, hobbies, or other activities that would contribute to your proficiency as a caregiver. Many 12- and
24-hour jobs include considerable amounts of unstructured time, and leisure time participation with the client is important. Please indicate
activities you enjoy and/or are able to teach to someone else.

 

 

 

What meals do you typically cook at home?

How would you rate your cooking skills?

Are you comfortable cooking from scratch or do you prefer using prepared foods?

How would you describe your personality (quiet, bubbly, humorous)?

WORK HISTORY

List present or most recent job first. Please fill in ALL areas requested.

Employer

From

To

Wage $

Address

Job Title

City/State/Zip

Job Duties

Phone

Supervisor

Reason for Leaving:

Explain Time Between Jobs:

Employer

From

To

Wage $

Address

Job Title

City/State/Zip

Job Duties

Phone

Supervisor

Reason for Leaving:

Explain Time Between Jobs:


Employer

From

To

Wage $

Address

Job Title

City/State/Zip

Job Duties

Phone

Supervisor

Reason for Leaving

Explain Time Between Jobs

Please tell us about any caregiving experience you have that is not included in your work history. Also include how long you performed those tasks. (Example: Caregiving for parents or volunteer work.)


AVAILABILITY Indicate (1) for first choice, (2) second choice; up to (5) in order of preferred shifts

 

 


BACKGROUND Have you ever been convicted of a felony? (You need not disclose the conviction if the record of the conviction has been officially expunged)

If "Yes", please explain

A RECORD OF CONVICTION DOES NOT NECESSARILY DISQUALIFY THE APPLICANT FROM EMPLOYMENT CONSIDERATION, AND FACTS SUCH AS RECENCY AND REHABILITATION WILL BE CONSIDERED.

I certify that all information on this Application for Employment and any other material provided by me is true and complete and understand that any misrepresentation of information or omissions may disqualify me from employment consideration and, if employed, will be considered grounds for dismissal whenever discovered.

I hereby authorize CaringGivers, LLC to check with all persons, educational institutions, employers, and other organizations including, but not limited to, those named herein (and on my accompanying resume, if any) regarding any information provided herein, and hereby consent to their providing job related information about me.

I understand that if I am hired, I will be required to conform to each of the policies and procedures maintained by CaringGivers, LLC. Further, I understand that CaringGivers, LLC follows an “employment at-will” policy, and that in the event I am hired, I or CaringGivers, LLC may terminate the employment relationship at any time, for any reason, with or without prior notice, and that this “employment at-will” policy cannot be changed unless the change is specifically authorized in writing by the President of CaringGivers, LLC. I further understand that this Application for Employment is not a contract of employment, nor a contract with respect to the terms of employment.

Applicant's Signature

Date