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ABOUT
Frequently Asked Questions
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HOME CARE
COMPANION RESPITE CARE
CNA CARE
LICENSED NURSE CARE
SHOWER TEAM
VIRTUAL CARE
SENIOR CARE RESOURCES
LONG TERM CARE INSURANCE
CONTACT
CAREERS
JOIN OUR TEAM!
CNA JOB
HHA JOB
RN / LPN NURSE JOB
ABOUT
FREQUENTLY ASKED QUESTIONS
Application for Employment
Fields marked with * are required.
Name: *
Address:
Contact Information: *
Position Applying For: *
Select a position...
Certified Nurse Aide (CNA)
Home Health Aide (HHA)
Registered Nurse (RN)
Licensed Practical Nurse (LPN)
Other
Are You a U.S. Citizen?
Yes
No
Have You Ever Been Convicted of a Felony?
Yes
No
Are You Willing to Submit to a Pre-Employment Drug Screen?
Yes
No
Education:
High School Name
Location
Years Attended
Degree Received
College / Vocational School
Location
Years Attended
Degree Received
Other Training, Certifications, or Licenses Held:
Current Employment:
Employer Name
Date Employed
Employer Phone
Employer Location
Position(s) Held
Supervisor Name and Title
Duties Performed:
May We Contact Your Current Employer?
Yes
No
Previous Employment:
Employer Name
Dates Employed
Employer Phone
Employer Location
Position(s) Held
Supervisor Name and Title
Duties Performed:
May We Contact Your Previous Employer?
Yes
No
References:
Reference 1 — Name
Relationship
Phone
Reference 2 — Name
Relationship
Phone
Are you applying for, or currently receiving NC unemployment benefits? If so, we will retain a copy of your application for work search verification.
Yes
No
I certify that all answers given herein are true and complete to the best of my knowledge. *
SUBMIT APPLICATION
