Apply for CAREGiver - Home Instead

Become a Care Professional >> CAREGiver >> Apply

Apply for CAREGiver

Hello and thank you for your interest in Home Instead. Please fill out the application below and click the Submit button when finished. Fields with an asterisk (*) are required.

Please note that this is the job board for the franchise office located at 6032 W Andrew Johnson Hwy, Talbott, TN 37877. Each Home Instead franchise is independently owned and operated. To find a franchise near you, please visit the Careers page.

For job related questions please call the franchise office at 423-587-5800.

Summary
Title:	CAREGiver
ID:	1009
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
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.

Additional Information

* How did you hear about Home Instead?

If applicable, please specify:

Applicant Note & Certification

APPLICANT NOTE

Medved & Lebed Inc. is an independently owned and operated Home Instead® franchise 6032 W Andrew Johnson Hwy, Talbott, TN 37877 423-587-5800.

This application will be valid for 60 days. If you need further assistance for any phase of the employment process, please notify the person who gave you this form and every reasonable effort will be made to meet your needs in a reasonable amount of time.

This application that you have completed online is intended for use in evaluating your qualifications for employment with us, an independently owned and operated Home Instead franchise. This is not an employment contract. Please be sure that you answered all appropriate questions completely and accurately. False or misleading statements during the interview and on your application materials are grounds for terminating the application process or, if discovered after employment begins, terminating employment. All qualified applicants will receive consideration and will be treated throughout their employment without regard to race, color, religion, sex, national origin, age, disability, or any other protected class status under applicable law.

CERTIFICATION

I certify that I have read and understand the applicant note above and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts in this application process may result in rejection of my application or discharge at any time during my employment. I authorize the company and/or its agents, including consumer-reporting bureaus, to verify any of this information including, but not limited to, criminal history and motor vehicle driving records. I also understand that the use of illegal drugs is prohibited when carrying out my job responsibilities. I am willing to submit to drug screening if requested to detect the use of illegal drugs prior to and during employment, as allowed under applicable law.

I understand that this application is not a contract for employment.

By typing your name below you are electronically signing this document.

* Signature (type full name):
* Date:

CAREGiver v4 Employment Application

BASIC INFORMATION

* Have you ever submitted an application here before?

Yes No

If yes, when?

* Are you able to perform the essential functions of the job for which you are applying with or without a reasonable accommodation?

Yes No

WORK HISTORY

MOST RECENT EMPLOYER

* Are you currently working for this employer?

Yes No

* If yes, may we contact?

Yes No

* Company Name:

* City:

* State:

* Company Phone:

* Dates Employed - From:

* Dates Employed - To:

* Duties:

Reason for Leaving:

REFERENCES

If you are considered for a position, we may contact your references and would ask that you notify them in advance. Please do not list relatives or family/relations.

Professional References

Full Name	Phone Number	Best Time of Day to Call	Email	Relationship (No Relatives)	Number of Years Known
*	*	* AM PM		*	*
*	*	* AM PM		*	*

Personal References

APPLICANT NOTE

Medved & Lebed Inc. is an independently owned and operated Home Instead® franchise 2412 W. Andrew Johnson Hwy., Suite E, Morristown, TN 37814 423-587-5800.

This application will be valid for 60 days. If you need further assistance for any phase of the employment process, please notify the person who gave you this form and every reasonable effort will be made to meet your needs in a reasonable amount of time.

This application that you have completed online is intended for use in evaluating your qualifications for employment with us, an independently owned and operated Home Instead franchise. This is not an employment contract. Please be sure that you answered all appropriate questions completely and accurately. False or misleading statements during the interview and on your application materials are grounds for terminating the application process or, if discovered after employment begins, terminating employment. All qualified applicants will receive consideration and will be treated throughout their employment without regard to race, color, religion, sex, national origin, age, disability, or any other protected class status under applicable law.

CERTIFICATION

* Signature (type full name):
* Date:

CAREGiver Prescreen Questions

* Are you 18 years of age or older?

	Yes
	No

* Are you able to lift 25 pounds?

	Yes
	No

* Do you have reliable transportation?

	Yes
	No

Personal Reference Check Form

REFERENCE 1

* Reference Name:		* Relationship:
* Years Known:		* Phone:
* City:		* State:
* Please describe his/her character or personality for me:		* In your opinion, would he/she be a good CAREgiver to a senior and why:
* Would you allow him/her to care for your loved one and, if not, why:		* In your opinion, what is his/her biggest weakness:
* Any additional comments to assist him/her in getting this job:		* Discrepancies:
* Notes:		* Attempts to Contact:

REFERENCE 2

Reference Name:		Relationship:
Years Known:		Phone:
City:		State:
Please describe his/her character or personality for me:		In your opinion, would he/she be a good CAREgiver to a senior and why:
Would you allow him/her to care for your loved one and, if not, why:		In your opinion, what is his/her biggest weakness:
Any additional comments to assist him/her in getting this job:		Discrepancies:
Notes:		Attempts to Contact:

REFERENCE 3

Reference Name:		Relationship:
Years Known:		Phone:
City:		State:
Please describe his/her character or personality for me:		In your opinion, would he/she be a good CAREgiver to a senior and why:
Would you allow him/her to care for your loved one and, if not, why:		In your opinion, what is his/her biggest weakness:
Any additional comments to assist him/her in getting this job:		Discrepancies:
Notes:		Attempts to Contact:

Professional Reference Check Form

REFERENCE 1

* Reference Name:		* Date:
* Company:		* Phone:
* Dates of Employment - From:		* To:
* How long have you known the applicant?		* How do you know the applicant?
* Knowing this applicant, would he/she make a good CAREgiver?

Using the scale of Outstanding, Good, Average, Poor, how would you rank him/her on:

* Trustworthiness:		* Dependability:
* Professionalism:		* Reliability:
* Appearance:
Comments:
* Checked By:		* Date:

REFERENCE 2

Reference Name:		Date:
Company:		Phone:
Dates of Employment - From:		To:
How long have you known the applicant?		How do you know the applicant?
Knowing this applicant, would he/she make a good CAREgiver?

Using the scale of Outstanding, Good, Average, Poor, how would you rank him/her on:

Trustworthiness:		Dependability:
Professionalism:		Reliability:
Appearance:
Comments:
Checked By:		Date:

REFERENCE 3

Reference Name:		Date:
Company:		Phone:
Dates of Employment - From:		To:
How long have you known the applicant?		How do you know the applicant?
Knowing this applicant, would he/she make a good CAREgiver?

Using the scale of Outstanding, Good, Average, Poor, how would you rank him/her on:

Trustworthiness:		Dependability:
Professionalism:		Reliability:
Appearance:
Comments:
Checked By:		Date:

Submit

Cancel

Before you go...