senior care service pittsburgh, senior home care, elder care, personal care assistance, home health care service provider in pittsburgh, pennsylvania, usa

Jobs

Employees can attach their
a. Resume
b. CPR Certification
c. TB Test
d. Child abuse clearance
e. Criminal background check

And should send
ssingh@sgyhomehealth.com

Employment application is already there.

Sweet Golden Years Home Health Care 4 U, LLC - senior care service pittsburgh, senior home care, elder care, personal care assistance, home health care service provider in pittsburgh

PERSONAL

Name (Last) (First) (Middle)

Address (Street)

(City)

(State)

(Zip Code)

Phone Number (with Area Code)

Alternate Phone Number (with Area Code)

E-mail Address

Social Security Number

Driver's License Number

State

Expiration Date

Have you been convicted of a felony? Yes No

If yes please explain:

Are you a citizen of the United States?

Are you living in Pennsylvania from last two years?

Are you over the age of 18 ?

Referral Sources (Ex: Newspaper, Advertisement, Internet) :

JOB INTERESTS SKILLS

Please select your Job Interest?

Position (s) applied for

Salary Desired

Have you applied for a position here before?

if yes, when?

JOB INTERESTS SKILLS CONTINUOUSLY

Type of employment requested: Full Time Part Time Temporary Summer

Date you could begin working

Typing Speed (WPM)

Summarize any other special skills or qualification

YOUR AVAILABILITY

Time from (eg: hh:mm AM/PM)

To (eg: hh:mm AM/PM)

Days Monday

Time from (eg: hh:mm AM/PM)

To (eg: hh:mm AM/PM)

Days Tuesday

Time from (eg: hh:mm AM/PM)

To (eg: hh:mm AM/PM)

Days Wednesday

Time from (eg: hh:mm AM/PM)

To (eg: hh:mm AM/PM)

Days Thursday

Time from (eg: hh:mm AM/PM)

To (eg: hh:mm AM/PM)

Days Friday

Time from (eg: hh:mm AM/PM)

To (eg: hh:mm AM/PM)

Days Saturday

Time from (eg: hh:mm AM/PM)

To (eg: hh:mm AM/PM)

Days Sunday

1. EMPLOYMENT HISTORY (LIST MOST RECENT FIRST)

Name of Employer

Phone Number

Address (Street, City, State, Zip Code etc)

Supervisor and Title

Your Title

Employed from

To

Starting Salary

Ending Salary

Work Performed

Reason of Leaving

2. EMPLOYMENT HISTORY

Name of Employer

Phone Number

Address (Street, City, State, Zip Code etc)

Supervisor and Title

Your Title

Employed from

To

Starting Salary

Ending Salary

Work Performed

Reason of Leaving

3. EMPLOYMENT HISTORY

Name of Employer

Phone Number

Address (Street, City, State, Zip Code etc)

Supervisor and Title

Your Title

Employed from

To

Starting Salary

Ending Salary

Work Performed

Reason of Leaving

EDUCATION

HIGH SCHOOL

Name & Location

Course Of Study

No Of Years

Average Grade

Degree Diploma Certificate and Honors Received

COLLEGE OR UNIVERSITY

Name & Location

Course Of Study

No Of Years

Average Grade

Degree Diploma Certificate and Honors Received

TRADE SCHOOL

Name & Location

Course Of Study

No Of Years

Average Grade

Degree Diploma Certificate and Honors Received

OTHER EDUCATION

Name & Location

Course Of Study

No Of Years

Average Grade

Degree Diploma Certificate and Honors Received

REFERENCES (Please exclude relatives)

Reference 1

Name

Relationship

Home Phone

Daytime Phone

Reference 2

Name

Relationship

Home Phone

Daytime Phone

Reference 2

Name

Relationship

Home Phone

Daytime Phone

HIRING PROCESS
Once our office receives Employment Application the hiring manager will review it carefully. If applicant is qualified then the office will contact the applicant for face to face interview to make a final.

ACKNOWLEDGEMENT
Ο by checking the circle, I certify that the answers given by me in the application are correct to the best of my knowledge. I understand that any falsification of this application, whether willingly or accidently, is grounds for disqualification of employment consideration, or dismissal from employment if I am hired. I the company to contact any and or all of the references I have listed above to obtain previous employment or any other pertinent information that they may have. Further I release the above mentioned references from any and all liability for any damages that may result from information collected by this company. Verification of eligibility to work in the United States must be satisfied for an offer to be made. Save completed application and attach via return email or fax.

DATE OF APPLICATION Please Enter
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