LOADING...  Please wait.

Caregiver pre-registration
Please note - if you do not meet the minimum qualifications your pre-registration will be rejected
Home Cares Finest is an employment/ referral Agency that matches caregivers with persons needing their services. If your pre-registration if properly filled out and accepted we will allow you to see all jobs that we have available. If you see a job or jobs that you would like to accept we will need you to sign our contract and to provide more information so that a background check can be done prior to your interviewing with the end use customer. There are not fees to you, our customers pay our Agency fees
Personal Information
E-Mail:*
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
Zip Code:*
Home Phone:*
Business Phone:
Cell Phone:*
Work Preference
Services provided? Caregiver or Nanny?*
Minimum Acceptable Hourly wage*
Your average hourly wage requested*
Available for*
Full Time
Part Time
Temporary
On Call
Live in
Other
Are you currently registered with either of these 2 organizations*
Trustline (for child care)
Home Care Aid Registry (for caregivers)
I am not registered but will register
No I do not plan to ever get registered
How far are you willing to travel from your home to work each day?*
1 - 10 miles
11 - 20 miles
21 - 30 miles
31 - 40 miles
more than 40 miles
I am only looking for live in work options
Education
Education*
GED
High School
Some College
College
Bus. or Trade School
Please list any Certifications you have for your line of work*

  Remaining Characters
Related Knowledge/Skills:*
Employment References - Please list 3 persons you have provided services for - helping your family members will not be considered
Name Of Employer:*
Employed From:*
Employed To:*
Employer Phone:*
type of service*
Name Of Employer:*
Employed From:*
Employed To:*
Employer Phone:*
Type of service*
Name Of Employer:*
Employed From:*
Employed To:*
Employer Phone:*
Type of service provided*
Personal References - friends or past coworkers (please do not list family)
Please list three (NON BUSINESS RELATED) persons whom have known you for at least 5 years.
Reference Name:*
email*
Phone:*
Reference Name:*
email*
Phone:*
Reference Name:*
email*
Phone:*
Background
HAVE YOU EVER PLED GUILTY TO OR BEEN CONVICTED OF A FELONY OR A FIRST DEGREE MISDEMEANOR?
*
Yes
No
DO YOU HAVE A VALID DRIVERS LICENSE, A RELIABLE CAR TO GET TO JOBS THROUGHOUT THE DAY AND FULL INSURANCE COVERAGE?
*
Yes
No
WILL YOU AGREE TO A DRUG TEST AND CRIMINAL BACKGROUND CHECK?
*
Yes
No
ARE YOU A U.S. CITIZEN OR ARE YOU LEGALLY AUTHORIZED TO WORK IN THE U.S.?
*
Yes
No
UPLOAD YOUR RESUME - THAT INCLUDES YOUR RELATED WORK HISTORY FOR CAREGIVING*
 
READ THE STATEMENT AND TYPE YOUR NAME IN THE SPACE PROVIDED BELOW IF YOU AGREE AND ACKNOWLEDGE THE FOLLOWING TERMS: I certify that answers given herein are true and complete to the best of my knowledge and I authorize investigation of all statements contained in this application for pre-registration. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an Independent contractor arrangement which means that the Agency will not be my Employer.

Please note - This electronic pre-registration serves only as a preliminary application and is used to pre-screen applicants prior to an invitation to an in person interview. If chosen applicants will be required to fill out a contract to finalize their registering with our Agency
By electronically signing this application I authorize Home Care Finest to check my references and employment history
ELECTRONIC SIGNATURE*
Save Form 
Powered by Elbowspace.com