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Caregiver pre-registration
Please note - if you do not meet the minimum qualifications your pre-registration will be rejected
Home Cares Finest is a referral agency that connects independent caregivers with individuals or families in need of their services. We want to clarify that we are not an employer.

After your pre-registration is properly filled out and accepted, you will gain access to view all available job opportunities. If you find a job that interests you, further information may be required to conduct a background check before you interview with the end-user customer, especially if you are not already registered with the State of California.

It`s important to note that there are no fees for you as an independent caregiver; our agency fees are covered by the hiring families. Once you are placed, you will be directly employed by the individual or family seeking your assistance.
Personal Information
E-Mail:*
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
Zip Code:*
Home Phone:*
Business Phone:
Cell Phone:*
Interested in job #
Work Preference
Services provided? Caregiver or Nanny?*
Salary Requirements - please note you will be able to renegotiate as needed depending on each jobs requirements
Minimum Acceptable Hourly wage*
Your average hourly wage requested*
Available for*
Full Time
Part Time
Temporary
On Call
Live in
Overnight
Other or all of the above
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
How many yeara of experience do you have?*
0 - 1 year
1 - 2 years
2 - 4 years
4 - 6 years
6 - 8 years
8 - 10 years
10 + years
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 AUTO INSURANCE COVERAGE?
*
Yes
No
WILL YOU AGREE TO A DRUG TEST AND CRIMINAL BACKGROUND CHECK IF RQUIRED?
*
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
 
Please read the following terms carefully and provide your agreement by typing your name in the space below:

I confirm that the information provided in this application is accurate and complete to the best of my knowledge. I authorize the investigation of all statements contained in this pre-registration application. I understand that my relationship with this organization, unless defined otherwise by law, constitutes an independent contractor arrangement, indicating that the Agency is not, nor will be my employer.

Please be aware that this electronic pre-registration is a preliminary step and serves to pre-screen applicants before extending invitations for in-person interviews.

By typing your name below, you acknowledge and agree to the above terms:
By electronically signing I authorize Home Care Finest to check my references and employment history
ELECTRONIC SIGNATURE*
To finalize - hit `save form` then `submit` below
Save Form 
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