Apply for Caregiver in the Carthage area

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:Caregiver in the Carthage area
ID:1003
Department:Client Services
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Opt-In Confirmation
I authorize recruiters from Adelmo Family Care to send text messages from 8669526166 with requests for additional information in relation to this job application only. Message/data rates apply. Message frequency varies.
Attachments
Resume:
Supported formats: Word, PDF, RTF, Text, and HTML.
  - or Upload from:
 
Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
Caregiver ver 2022
Please answer all the questions that you can. Please give us as many references as you can.
* Where did you hear about this opening?
Newspaper
Adelmo Web Site
Craigslist
Current Employee
Indeed
Monster
Glass Door
FaceBook
myCNAjobs
Other

Transportation-Many caregiver positions require the caregiver to transport a client.

* Do You have dependable transportation?:
Yes
No

Availability - What hours do you want to work for us?

Job Questions

Can you pick up a wheel chair?
Yes
No
* Do you have any health problems or limitation that would prevent you from partially lifting an adult elderly person?
Yes
No
* Is there anything that would preclude you from doing this job with or without a reasonable accommodation?
Yes
No
* Have you ever been convicted of, pled guilty to or no contest to a felony?
Yes
No
* Have you ever been convicted of, pled guilty to or no contest to a misdemeanor for theft, assault, or sexual offences?
Yes
No
* Have you ever been convicted of, pled guilty to or no contest to a drug or alcohol related offense?
Yes
No
* Do you currently or have you ever used illegal drugs?
Yes
No
* Do you smoke?
Yes
No
If yes, are you able to go several hours without a cigarette, so as not to smoke while around clients?
Yes
No
* Have you ever contracted a communicable disease for which you may now be a carrier, such as Tuberculosis, Malaria, Hepatitis, or any other such disease?
Yes
No
Is there anything else that you feel I should know about which may prevent you from assisting a client in any way?
* Do you speak any other languages?
Explain any question further here.
* Are you between the ages of 21 and 80?:
Yes
No

When you are finished with the following questions you will have completed the first part of the application process.  You should look for an email in your inbox.  It will direct you to the next portion of the application process.  

Thanks, Adelmo Family Care

Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The Information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
I Choose Not to Respond
Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
I Choose Not to Respond
Veteran Status: (Please check all that apply)
Individual with a Disability
An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred - a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5,1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
I Choose Not to Respond

ApplicantStack powered by Swipeclock