Caregiver

What is your experience Caregiving?
Family & Friends Only Private Caregiving Only Worked at facility or agency No experience

Do you have a valid Driver’s License?
Yes No

Are you willing and able to transport the client and/or run errands with your vehicle?
Yes No

Are you 18 years or older and legally able to work in the US?
Yes No

Are you willing to provide personal hygiene services (dressing, bathing, grooming, diaper change)?
Yes No

Can you Read, Speak and Write in fluent English?
Yes No

Are you willing to work for $17 - $20 per hour?
Yes No

Do you have any of the follow certifications (check all that apply)
CPR First Aide CNA HHA MA N/A

Are you able to transfer clients:
Up to 150 pounds Over 150 pounds None of the above

What is your current work availability?
Weekdays Weekends Overnight Open availability

Are you OK to work with clients that smoke?
Yes No

Are you OK to work with clients with pets?
Yes No

Are you OK working in Orange County?
Yes No

Are you willing to complete our employment screening process which includes a drug test / tb test / ETC?
Yes No