Job application Care Las Vegas

This position requires a compassionate person to care for elderly residents, some of whom may have Alzheimer's and Dementia. Candidate's qualities must include integrity, honesty, and willingness to work as a team.

Email address *

Name *

First

Your answer

Name *

Last

Your answer

Phone number *

Your answer

Address *

Your answer

Please check all that apply to you: *

Live-In (the care home is your permanent residence. 1 location prefers this.)

Live-Out

Night Shift (generally, between the hours of 7pm and 7am, although shift length can vary)

Day Shift (generally, between the hours of 6am and 8pm, although shift length can vary)

Full Time (40-60 hours per week. Live-Out: 40 hours max.)

Part Time (Anything under 40 hours per week)

Temporary (Cover at times, help out for a month, etc.)

Other:

Required

Check days you CANNOT work: *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

My Schedule is open

Required

Check all that you have CURRENTLY: *

Negative TB Test - within 6 months

Physical - within 6 months

CPR/First Aid - within the year

8-hr Caregiver Training

16-hr Medication Management Training

10-hr Alzheimer's Training

Required

Indicate the location you are applying for (if applicable)

5559 Trooper Street, Las Vegas, NV 89120 (10 residents)

271 E Desert Rose Drive, Henderson, NV 89015 (10 residents)

4809 Mountain Valley Rd, Las Vegas, NV 89121 (2 residents)

Other:

Check all that you are GOOD at: *

Cleaning

Incontinence Care

Organizing/Laundry

Cooking

Light computer work

Other:

Required

Describe your Education. Name High School, College, and Other Education:

Your answer

Previous Employment. List Company, Your Title, and Supervisor's Name and Phone number:

Your answer

Reference 1 Name:

Your answer

Reference 1 Title/Relationship to you:

Your answer

Reference 1 Phone:

Your answer

Reference 1 Email:

Your answer

Reference 2 Name:

Your answer

Reference 2 Title/Relationship to you:

Your answer

Reference 2 Phone:

Your answer

Reference 2 Email:

Your answer

Reference 3 Name:

Your answer

Reference 3 Title/Relationship to you:

Your answer

Reference 3 Phone:

Your answer

Reference 3 Email:

Your answer

Check to indicate that you understand: *

Employees may not accept money or gifts from our residents

Employees may not have guests while on shift, unless pre-approved

Employees are required to have annual continued education, during which you are unpaid, and the cost may be paid by you

Employees are employed at will. Either party may terminate agreement for any time with or without cause

If hired, I understand due to the nature of the business, (taking care of dependent people) I will have dependent people, and my co-workers relying on me to come to work when scheduled and on time, unless I am prevented to do so because of illness or emergency. In the event I am not able to come to work, I will immediately call in to work, so that proper staff coverage can be arranged. I further understand, that although this employment relationship is At-Will that I am not allowed to walk off my job, and leave the residents unsupervised at anytime. All non-emergency coverage must be handled between staff

I understand that due to the nature of the business, (taking care of dependent people) I must always have the physical and mental ability to do the job. If I am disabled, or become disabled, I understand that I can request the company to make reasonable accommodations to assist me, however, the company may refuse if it compromises resident care, or causes an undue hardship on the company.

I understand that in order to work in this type of business I must have a “clean” criminal record, with no felonies or serious misdemeanor convictions. If hired, I understand that I will have to submit my fingerprints so that an extensive criminal record and background check can be conducted. If I am hired, I understand that if I get arrested for any reason, the facility may be notified by the licensing agency to immediately suspend me, and my employment may be terminated based on the outcome of the arrest.

I understand that prior to my acceptance of employment, and if hired, during my employment, I may be tested for the use of illegal drugs, and if found positive for use, my relationship with this company will be immediately terminated. I further understand that if hired, and I am found under the influence of drugs or alcohol while at work I will be immediately terminated.

I understand this company does not discriminate against applicants because of race, creed, color, religion, gender, or sexual preference, and that hiring is based on qualifications, personal characteristics, background check, and interview.

I hereby give my permission for this company to contact the pervious employers, schools and other contacts I have listed here and hereby release this company, and listed contacts from any liability arising from such communication of information. I understand that any falsification of this information is just cause to refuse hiring, and falsifications discovered later, if hired, will be grounds for immediate termination.

Required

Check if you understand:

Application process is via TEXTING (or email). If selected for an interview, you will be sent a link to a scheduling system where you will choose your interview date and time and location.

Interview location is NOT necessarily the job location.

Pre-hire requirements (such as a physical/TB Test/some training costs) are your responsibility.

Send me a copy of my responses.

Submit

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service

Forms