Job Application Form

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I Love Healthcare LLC works with clients with developmental disabilities who need in home services, access to the community and transportation. We provide empathic caregivers and reliable transportation. Our caretakers have extensive experience and we have a compatibility process that sets us apart from bigger agencies.

Name *

First name

Last name *

Email *

Phone number *

Address *

Which position(s) are you interested in? *

DSP/Caregiver

Driver

Office

Required

Availability (Check all that apply) *

Days

Nights

Weekends

PRN

Other:

Required

Years of experience in home care

Certifications (Med Certs, First Aid/CPR, etc.)

Skills and Qualifications (check all that apply)

ability to lift/move clients

cooking/nutrition knowledge

driving/using gps

capability to fill out documentation/medication forms

assistance with ADL'S (activities of daily living)

Current employer or previous employer

Why are you interested in working for I Love Healthcare? What makes you a good fit for the Agency?

Have you ever been convicted of a felony?

Do you have a valid drivers license?

Yes

Maybe

Do you have 6 or more points on your license?

Yes

Maybe

Any additional information you would like to share?

Any references? List names and contact information.

Submit your cover letter or resume

Submit

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