How To Apply - Personal Care Inc - Atlanta Home Care Services

Personal Information

Apply to Work with Personal Care, Inc.

First Name *

Last Name *

Email Address *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Phone Where You Can Be Reached *

Alternate Phone Where You Can Be Reached

Basic Requirements

Are your CPR, CNA and TB licenses current?

CNA: *

YesNo

CPR: *

YesNo

TB (within the past year?): *

YesNo

What year did you get your CNA certification?

How many years of experience as a CNA do you have?

Are you willing to agree to have a drug test, a criminal background check, references checked, educational background checks and complete an entrance test for this position?YesNo

Personal Care is required to participate in mandatory fingerprint background checks. Have you been fingerprinted before?YesNo

Do you agree to a fingerprint background check?YesNo

Have you been fully vaccinated against COVID-19?YesNo

Placement Information

Are you applying for full time or part time? *

Are you applying for Days or Nights? *

Can you commit to work every other weekend?YesNo

Do you have a vehicle or use Marta? *

What hours are you available to work? *

In what areas of the city are you willing to work? *

How far time-wise are you willing to commute? *

Are You a Smoker?YesNo

Work Experience

Have you ever worked for a home care company before? *YesNo

Have you ever worked in a facility or hospital *

Please list your previous 3 employersPlease list your previous 3 employers

Employer Name

Start Date

Employer Name

Start Date

Employer Name

Start Date

If not currently working, where was your last job as a CNA?

If not currently working, when was your last job as a CNA?

If not currently working, how long did you hold your last job as a CNA?

Were you terminated or did you resign from this position? Please provide the reason

Have you ever applied for work with Personal Care, Inc. in the past?YesNo

If yes, when?

How did you hear about Personal Care, Inc.? *