JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
MyShyft: Health Care Professional Application
Download the MyShyft app in the Google Play or iTunes app store to continue the process of applying as a caregiver.
You
MUST
download the MyShyft app and click "I am a Health Care Worker" and complete the process inside the app.
iTunes
:
https://itunes.apple.com/us/app/restup/id1093749852
Google Play
:
https://play.google.com/store/apps/details?id=com.it.restup
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Where did you hear about this position?
*
Indeed
Indiana Career Connect (Work One)
Craigslist
LinkedIn
Facebook
Handshake
School's Career Services Office
Monster
Zip Recruiter
Tik Tok
Instagram
Other:
Have you watched any of our YouTube videos explaining the sign-up process and how to use the app?
Found Here:
MyShyft YouTube
*
Yes
No
What is your first name?
*
Your answer
What is your last name?
*
Your answer
What state do you live in?
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
What is your zip code?
*
Your answer
What is your phone number?
*
Your answer
Do you have any license?
*
Medical Assistant
Home Health Aide
Certified Nursing Assistant
Qualified Medication Aide/Medication Aide
Licensed Practical Nurse/Licensed Vocational Nurse
Registered Nurse
None
Other:
What is your highest level of education?
*
High School (or High School Equivilent)
Associates Degree (2-Year)
Some College
Currently in College
College/Univerity Degree (4-Year)
Post-Graduate Degree (Masters, Professional, PhD)
Other:
What is the furthest you are willing to drive to pick-up a shift?
*
15 - 30 minutes
30 - 60 minutes
1 - 2 hours
2+ hours
What is the ideal length of time you would be willing to drive to pick up a shift? (you may select multiple responses)
*
15 - 30 minutes
30 - 60 minutes
1 - 2 hours
2+ hours
Required
Have you downloaded the MyShyft app and completed the application process inside the app?
REMINDER
: This is done by clicking
"
I am a Health Care Worker
"
inside the MyShyft app, and completing the following app screens.
*
Yes
No
Next
Page 1 of 2
Clear form
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report