Testimonials

"As a caregiver...it means putting yourself in your client's place...I would want understanding, trust and love...This is what I give to my clients each and everyday.

Ms. Holland, Rockdale County

 
Employment
 
EMPLOYMENT SCREENING

Please complete the information and click SUBMIT.
First Name Last Name
Primary phone
Secondary phone
Check the box to verify that you have, currently in your possession, the original of each document below, and it is current (NOT expired):
GEORGIA CNA Certificate
CPR Certification
First Aid Certification
Driver's License or State ID
Social Security Card
TB Skin Test or X-Ray
within last 12 months
If you do not have ALL of these documents, please stop here.
We are not able to schedule an interview if any of these is missing.
After you have secured all current original items listed,
return to this page and complete this form.
How much experience do you have? (years and months) Years       Months
Have you applied or worked with us before? If yes, when?
In what counties are you willing to work?
  YES     NO
Dekalb
Gwinnett
Fulton
Clayton
Cobb
Henry
Rockdale
Newton
Please indicate what days of the week, and what hours during the day, you would be available to accept assignments
Days of the week  
From (time)
Until (time)
Are you available for live-in shifts? Yes     No     Sometimes
Are you available to work holidays? Yes     No     Sometimes
How did you hear about us?
Please note any comments or clarifications you may wish to add




 

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