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Step 1
Name*
Email*
Phone Number*
Zip Code*
Upload Resume*
Next
Step 2
Are you legally authorized to work in the U.S.?*
Yes
No-
Are you available part-time, full-time, or both?*
Yes
No
What type of employer are you looking for?*
Yes
No
Are you willing to be a live-in caregiver?*
Yes
No
Are you willing to work with clients owning dogs?*
Yes
No
Are you willing to work with clients owning cats?*
Yes
No
Are you willing to work with clients that smoke?*
Yes
No
Are you interested in providing transportation service for clients?*
Yes
No
Do you have reliable and insured transportation?*
Yes
No
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Step 3
Total years of caregiving experience*
None
Less than one
Assisting activities of daily living (ADL)*
Bathing
Transferring
Dressing
Toiling
Eating
Walking
Assisting with instrumental activities of daily living (IADL)*
Cleaning
Grocery Shopping
Errands
Laundry
Transportation
Light lifting
Cooking/meal prep
Companion
Specialized Home Care*
Dementia care
Alzheimer's care
Breathing treatments
Hoyer lift/gait belts
Hospice care
Special meal prep
Child care
Psychiatric care
Nursing Home
Hospital
Assisted living
Chronic care
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Step 4
Which of the following certifications do you currently have?*
CNA
CHHA
PCA
STNA
LPN
LNA
CMT
GNA
RN
Have you completed any of the following?*
State fingerprint background
AHCA level 2 background
CRP certification
BLS certification (Life support)
TB test/Chest X-ray
Languages Spoken*
English
Spanish
Russian
French
Creole
Italian
Arabic
German
Vietnamese
Chinese
Other
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