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Covenant Care Agency Job Application
General Information:
First name
*
Middle name
*
Last name
*
Phone
*
Email
*
Multi-line address
Country/Region
Address
City
Zip / Postal code
Birthday
Month
Day
Year
Position
Number of years of experience as a care giver
*
I meet the following requirements (check all that apply):
Current Certification as a Home Health Aide (HHA) or Certified Nursing Assistant (CNA) or willingness to renew
Ability to communicate effectively in English
Physical ability to assist clients with mobility and daily tasks
Previous caregiving experience
Clear driving record
Flexible availability
Non-smoker
Able to commit to job outline
Pristine background
Tuberculosis (TB) test – current or willing to obtain
Are you 21 years of age or older?
*
Yes
No
Are you authorized to work In The United States?
*
Yes
No
Are you currently living in the Gainesville, FL area?
*
Yes
No
Where are ypu located?
Please list the neighborhood you reside in.
Do you own a car?
Yes
No
Do You Have A Drivers License?
*
Yes
No
Distance Willing To Travel?
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