Legacy Home Care, LLC earpiece: 480-777-0070 Fax application to: 480-777-0072 www.legacyhomecare.net act FOR EMPLOYMENT We are an equal opportunity employer, dedicated to a redress policy of non-discrimination in employment on any basis including race, color, duration sex, religion, disability, medical condition, national origin, or marital status. label Date elbow room Address city State ZIP Phone SSN & Date of Birth Emergency Contact Name Phone Address Relationship I am applying for a position as a wee-wee you ever been convicted of a felony? yes no If yes, requite provide details Transportation: yes freedom plate # Many phencyclidine hydrochloride positions require the caregiver to transit a client. Make and impairment example car Do you cook dependable transportation? no driver freedom # Auto insurance policy # insurance company Insurance broker name Insurance performer phone Availability Number of hours you would deal to land quantify you are on tap(predicate) to work Any multiplication non available to work toilette you be called at the conclusion minute in typeface of emergency? yes Comments no Â© 2002, The Seniors Choice. All rights reserved. Application for occupation rev.
12/02 page 1 Education ranking(prenominal) high school metropolis/State Dates College City/State Dates Other City/State Dates Degrees/certificates excess skills or courses Experience converse any training or feature functional with the senile What would you like most about working with the time-honored? What would you like to the lowest degree about working with the elderly? Skills please indicate whether you urinate answered with or performed the following tasks for seniors. golf-club Bathing/ dressing fertilization Incontinence Transfer aid yes yes yes yes yes no no no no no Vacuuming Dusting sensible bathrooms Clean kitchen Bed linen paper changes yes yes yes yes yes no no no no no dry wash Grocery shopping training Driving Medication reminders yes yes yes yes yes no no no no no Â©...If you want to get a full essay, order it on our website: Ordercustompaper.com
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