1846 Job Application

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Please provide us with the following preliminary information for review. If you are a fit, we will promptly reach out and email you the full employment application to conveniently complete online.
Full Name*

First NameLast Name
Phone*
Email Address*
Current Address*

Street Address

Street Address Line 2

CityState (ex. WY)

Zip Code
Are you signing up with Excellacare to take care of a friend or family member through one of the local Area Agencies on Aging's Medicaid wavier programs?*

YesNo
Which Position are you applying for?*
How much experience do you have in home health care?*
Please share the settings you have worked in.*
Which type of reliable transportation are you currently using?*
Does your reliable transportation involve ride sharing like Uber or Lyft?*
How far are you willing to commute to a client's home?*

Up to 20 minutes20-30 minutes30-45 minutes45 minutes or more
How many hours are you looking for employment?*

Full time - about 40 hours per weekPart time - about 20 hours per weekFlexible - less than 20 hours per week
Which days are you available to work?*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Which times are you available to work?*

Mornings (6AM - 12PM)Afternoons (12PM - 5PM)Nights (5PM - 12AM)
Please mark ALL of the below that you WILL work with in a client's home (up to 3).*

Dogs in homeCats in homeSmoker in home
Do you have experience using a hoyer lift?*

YesNo
How did you hear about Excellacare?*
SMS

Opt in to receive text messages?
By submitting this application, you understand that you may be contacted by Excellacare via phone or email. You agree to accept automated and direct text and email communications from Excellacare. You understand that you can opt out at any time by replying STOP to the message. You understand opting out will significantly impair your ability to be notified of shifts and other communications from Excellacare.
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