Apply for Superb & Sincere Caregivers CNA & HHA 12 hr night shift

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:Superb & Sincere Caregivers CNA & HHA 12 hr night shift
ID:11/19/2024 JAX
Location:Jacksonville, FL
Department:Home Care
Resume
Resume:
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Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Attachments
Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
Application for Employment
PERSONAL INFORMATION
Yes   No
EMPLOYMENT DESIRED
EDUCATION

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School 1


School 2


EMPLOYMENT HISTORY

Give your full employment record, starting with your current or most recent employment

Employer 1


Employer 2


REFERENCES

Please provide three references (not relatives).

Reference 1


Reference 2


Reference 3


AUTHORIZATION

The facts set forth in this application and any supplemental information are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.

Background Check
* Do you have a valid CNA license or HHA certification?:
Yes   No
* Do you have a valid CPR certification?:
Yes   No
* Date of Birth (mm/dd/yyyy):
* Social Security Number:
* Drivers License:
* What type of job are you seeking?:
Full-Time   Part-Time   PRN

Equal Employment Opportunity (EEO) Policy:

Granny NANNIES assures each contractor applicant an equal opportunity without regard to a person's age, race, color, sex, national origin, political opinions or affiliations, marital status or disability, except as provided by law or when such requirement constitutes a bona fide occupational qualification necessary to perform the tasks associated with the position.

Independent Contractor Status: Upon acceptance of this Application by Granny NANNIES, I will be an independent contractor responsible for my own business and not an employee of the Company. I will not be treated as an employee in regard to any laws covering employees, including but not limited to the Federal Insurance contributions Act, the Social Security Act, the Federal Unemployment Tax Act, and income tax withholding at source or for any federal or state tax laws. It is my responsibility to pay self-employment, state and federal income taxes, as required by law. Granny NANNIES is a referral agency and can NOT guarantee full-time, part-time, or steady assignments.

Please find our Terms of Service and privacy policy on our website at  
https://grannynannies.com/Gainesville/Privacy-Policy
https://grannynannies.com/Jacksonville/Privacy-Policy

* By checking the "YES" box below , you consent to receive text messages from Granny Nannies at the phone number provided. These text messages may include important updates, schedule changes, and other information related to our clients and services. Standard message and data rates may apply. You may opt out any time by replying "STOP" to any message you receive from us
Yes   No

By providing my electronic signature below I am authorizing Granny NANNIES to run all necessary screenings, including but not limited to my criminal history, drivers record, and public record. I also confirm that all provided information is true and correct to the best of my knowledge.

* Signature (type name)
Driver Questionnaire
* Do you have a valid current and unrestricted Florida Driver's License?:
Yes   No
* Have you had any severe moving violations (ex. DUI, unlawful speeding, etc.) within the last 3 years?:
Yes   No
* Are you able to lift 50 pounds?:
Yes   No

I agree that this form may be electronically signed and agree that my typed signature is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.
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