EMPLOYMENT

Apply for Employment and Fulfilling Careers at Care World Home Care Agency. Would you like to have a career where you can grow professionally?

To submit your application, please use the online form or click the downloadable link below. Qualified applicants will be called in for an interview. We are persistently searching for new members to add to our dynamic staff.

We appreciate your interest in joining our excellent staff.

Please complete this application as completely and accurately as possible together with the following requirements:

  1. A copy of any valid Photo ID
  2. Latest Criminal Background Check / Scan Fingerprint
  3. First Aid Certificate
  4. Basic Life Support Certificate
  5. CPR Certification
  6. General Physical Exam
  7. TB Test Clearance
  8. Proof of HCA Registration

You can forward your application by electronic submission down below, or submit a completely filled-out downloadable form by postal mail to: CARE WORLD, 16200 Ventura Blvd., Ste.224, Encino, CA 91436, or by e-mail at info@careworldhomecare.com

Click here to download form

DOWNLOAD FORM NOW!

PERSONAL INFORMATION Date

NAME:    

ADDRESS:

   

Date of Birth: / /    




 

Are you a US Citizen? Yes   No    If no, do you have the legal right and necessary documents to work in the US? Yes   No

How long have you been in the U.S.
(Identity and employment eligibility will be verified as required by law.)


EMPLOYMENT INFORMATION

Position Desired:    Hourly   Live-in     Shift Preference

Salary Requirement    Date available for work

Do you possess a valid driver's license? Yes    No    Driver's License #

Do you have your own transportation? Yes    No   
If No, how will you commute to work?

If Yes,    

How did you hear about us? Classified ad    Where did you see the ad?

Current Employee Name   Internet    Other


QUALIFICATIONS & EXPERIENCE

Name of School Did you Graduate Year
High School Yes    No
College/Univ Yes    No
College Degree Yes    No
Technical Traning

Did you Graduate Yes    No



Did you Graduate Yes    No



Did you Graduate Yes    No




Languages spoken in addition to English:

Do you have current CPR certification? Yes    No    Expiration Date:


Check any experience/training in any of the following:

Hip surgery/Injured patients

Patients who require lifting

Cooking American Food

Patients in wheelchair

Hoyer Lift

Kosher food



ABILITIES (Check all conditions you have experience/knowledge with):

Straight Catheter

Tracheostomy Care

Parkinson's

Colostomy Bag

G or N/G Tube

Catheter Male

Catheter Female

Alzheimer's/Mental

Spinal Cord Injury

Heart Condition

Children

Blood Pressure

Diabetes Sugar Testing

Insulin Injection

Psychological

Fractures

Paralyzed

Nebulizer

Oxygen

Suppositories

Diapers

Computers

Bedpan

Bedsore

Bedridden

Wheelchair

Walker

Orthopedic

Blind

Cancer

Stroke

Suctioning

Ventilator

Enemas

Wound Care

IV Insertion

Heplock

Baths

ALS

MS



PAST & PRESENT EMPLOYERS:


Current (Agency) Employer:

Name

Address

ZIP

May we contact? Yes    No    Salary






Past Employers:

Name

Address    ZIP

Date started   Date ended

May we contact? Yes    No    Salary





Name

Address    ZIP

Date started   Date ended

May we contact? Yes    No    Salary





Criminal Background Inquiry

Have you ever been convicted of a crime, other than a minor traffic offense, or pled no contest to a crime?

Yes    No     If Yes, Please explain,
(You will not be denied employment solely because of a record, unless the offense is related to the work or which you applied for.)


Emergency Contact

Name   Home #   Work #

Address   Relationship


"I certify that the facts in this application are true and complete and to the best of my knowledge and I understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above to give you any and all information they may have, personal or otherwise, and release all parties from liability for damage that may result from furnishing same to you."


Initial     Date