Apply for Immediate openings for Caregivers, Evenings and Weekends! Hanover, Gettysburg, New Oxford

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Summary
Title:Immediate openings for Caregivers, Evenings and Weekends! Hanover, Gettysburg, New Oxford
ID:1002
Location:Hanover,PA
Shift:Evenings and Weekends
Status:Part-Time
Salary Range:$16-$18
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Contact Information
* First Name:
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* Address 1:
Address 2:
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Application Information
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Opt-In Confirmation
I authorize recruiters from Always There Home Care of Susquehanna Valley to send text messages from 8556230693 with requests for additional information in relation to this job application only. Message/data rates apply. Message frequency varies.
Application for Employment
PERSONAL INFORMATION
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EMPLOYMENT DESIRED
Full Time   Part Time   Seasonal
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Please list your availability below:


Live-Ins

Being a Live-In means several consecutive days of care where the Caregiver stays at the care recipient's home for the entire number of days.

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EDUCATION

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School 1

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School 2

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School 3

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School 4

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School 5

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EXPERIENCE

Give your full employment record, starting with your current or most recent employment

PREVIOUS JOB EXPERIENCE #1

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PREVIOUS JOB EXPERIENCE #2

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PREVIOUS JOB EXPERIENCE #3

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PREVIOUS JOB EXPERIENCE #4

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PREVIOUS JOB EXPERIENCE #5

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SKILLS AND PREFERENCES
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
SPECIALIZED TRAINING
PROFESSIONAL REFERENCES

Please provide three references (Do not include friends or family).

Reference 1

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Reference 2

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Reference 3


CRIMINAL HISTORY
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CERTIFICATION AND RELEASE

I certify the above stated and indicated are true in fact and no misrepresentation of myself has been made. I understand that any false information, omissions, or misrepresentation of facts will result in rejection from this application and/or discharge at any time during the employment period. I authorize COMPANY NAME to verify any and all information contained within this application, including but not limited to, criminal history and motor vehicle driving records. I authorize all persons, schools, companies, and law enforcement authorities to release any information concerning my background and hereby release any said persons, schools, companies, and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment and that I am willing to submit to drug testing at any time to detect the use of illegal drugs prior to or during employment.

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RESTRICTIVE COVENANT

I agree not to do business directly with any individual or business entity that Always There Home Care of Susquehanna Valley has introduced to me or by entering into employment with such individuals or businesses.

Yes   No
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
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Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
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Veteran Status: (Please check all that apply)
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability.
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
I Choose Not to Respond

I agree that this form may be electronically signed and agree that my typed signature is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.
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