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Visit by an Angel Home Care Job Application

You are required to work in Charleston, Berkeley, Dorchester County, etc.

You are required to work every other weekend. 

Complete the application below to begin the hiring process.
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Email *
Email Address *
What position(s) are you interested in? *
Required
Name
First and Last name
 *
Middle Initials  *
Today's Date *
MM
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DD
/
YYYY
Date of Birth *
MM
/
DD
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YYYY
Social Security Number *
Phone Number (Example xxx-xxx-xxxx) *
Are you authorized to work in the US? *
Have you ever worked for this company before? *
Do you have a GED or High School Diploma?
(This is a Requirement)
 *
Have you been convicted of a felony or misdemeanor? Please Explain. If not, please write N/A. *

Current Employer: Address, Supervisor, Job Title, Responsibilities, Starting Hourly Rate, Ending Hourly Rate, and Date of Employment

(Please complete and be detailed.)
 *

Previous Employer: Address, Supervisor, Job Title, Responsibilities, Starting Hourly Rate, Ending Hourly Rate, and Dates of Employment

(Please complete and be detailed.)
 *

Do you have any certifications or licenses?

(Only for CNAs or RNs.)
 *

Are you certified in the state of South Carolina?

(Only for CNAs or RNs.)
 
If so, please include your license number below.
 *

Do you have a reliable source of transportation?

This is a requirement.
 *

Last TB Test Date

(For RN's only, write today's date if not RN)
 *
MM
/
DD
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YYYY
Sex *
Are you okay with a client who has pets? *
Are you okay with a client who smokes inside their home? *
How did you hear about us? *
What date can you start? *
MM
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DD
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YYYY

What is the earliest time you can come in (AM)? What is the latest you can work until PM?

Example: 8:30 a.m. until 2 p.m.
 *
What days are you available? *
Required

Physical Address, City, and Zip Code

 
(Please complete and be detailed.)
 *
Do you have any upcoming events? If so, please provide the date(s).
 *
What positions are you looking for? *
By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application. *
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