Apply for Skilled Caregivers PCA needed Haymarket area

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

Summary
Title:Skilled Caregivers PCA needed Haymarket area
ID:1107
Location:Gainesville, VA
Department:Home Care
Salary Range:$18-$20 per hour
Resume
* Resume:
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Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Opt-In Confirmation
I authorize recruiters from Incredicare to send text messages from 8778652923 with requests for additional information in relation to this job application only. Message/data rates apply. Message frequency varies.
Attachments
Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
Caregiver Screening
* Do you have a valid Driver License?:
Yes
No
* Do you have an insured vehicle to use during your shifts?:
Yes
No
* Are you at least 21 years of age?:
Yes
No
* Are you willing to drive 20 miles if needed to a shift?:
Yes
No
Do you hold a heath care certificate from the state of Virginia?:
CNA
PCA
HHA
Do you have a current CPR & 1st Aid card?:
Yes
No
* Can you lift up to 50lbs?:
Yes
No
* Can you speak, read and write in English?:
Yes
No
* Do you own and can you use a smart phone?
Yes
No
* How much experience do you have providing homecare?
<1 year
1-3 years
4-9 years
>10 years
* I am available for the following time slots:
Mark all that apply. These are not shifts.
Monday to Friday Days
Monday to Friday Overnights
Monday to Friday Evenings
Saturday Days
Saturday Overnights
Saturday Evenings
Sunday Days
Sunday Overnights
Sunday Evenings
Other (Please disclose this at phone screening)
* I am seeking:
<10 hours per week
10-20 hours per week
20-25 hours per week
25-30 hours per week
30-35 hours per week
35-40 hours per week
* Will you be able to provide personal care/hygienic care for clients, such as showering, toileting assistance, and other hands-on care after proper training?
Yes
No
Colostomy/Foley Exp
* Do you have experience with colostomy or ostomy care?
Yes
No
* Do you have experience with emptying catheters?
Yes
No
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
I Choose Not to Respond
Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
I Choose Not to Respond
Veteran Status: (Please check all that apply)
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability.
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
I Choose Not to Respond

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