TenderHearted Caregiver Application
Please complete this form to apply for employment with TenderHearted Home Care, servicing Rowan, Cabarrus & Davidson counties. Call 704-612-4132 with any questions.
Mobile Phone Number (no punctuation = xxxxxxxxxx)
By answering yes, I authorize Tender Hearted Home Care, LLC to call or text me on my mobile phone
Home Phone Number (no punctuation = xxxxxxxxxx)
City, State, Zip Code
As a condition of employment, you will be required to pass a drug test and be subject to random screenings... will you be able to pass a drug test?
No - if answering no, please do not bother to submit this application as you will not be hired!
Dates & Times you are available to work
Educational Background (CNA classes, etc)
Employment History (Last 5-7 years...list dates of employment, Employer & job duties)
Why should we hire you? Please list any other related information that we should consider in hiring you for this position.
Personal Care Ability
Stand by Assistance
Okay with Cats
Okay with Dogs
Allergic to Cats
Allergic to Dogs
Allergic to Smoke
I am a Smoker
I am a Non-Smoker
Who referred you to TenderHearted Home Care?
Have you been convicted of or are presently charged with a felony or misdemeanor crime? (This does not apply to juvenile conviction. A criminal conviction will not necessary bar you from employment. We will consider the nature of the crime, the time that has elapsed since the occurrence, and any other rehabilitation you have undergone.) If yes, what crime and date of conviction or charges?
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