JENKINS HOME CARE JOB APPLICATION

  • JENKINS HOME CARE JOB APPLICATION

  • If your application is not complete you will not receive a call back. Read the directions carefully and answer accordingly.


    YOU ARE REQUIRED TO WORK IN CHARLESTON, BERKELEY, DORCHESTER, COLLETON COUNTY, ETC...


    YOU ARE REQUIRED TO WORK EVERY OTHER WEEKEND!!

  • PLEASE PROCEED

    Read the directions carefully and answer accordingly.

  • Which position(s) are you interested in?*
  • How did you hear about us?

  • PERSONAL INFORMATION

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Date of Birth*
     - -
  • Can you read and speak English fluently (This is a requirement)*
  • Are you a citizen of the United States?*
  • If no, are you authorized to work in the U.S.?*
  • Have you ever worked for this company?*
  • To identify potential conflicts of interest, do you have any personal or familial relationships with anyone currently employed by Jenkins Home Care?*

  • EDUCATION

  • Formal

  • Informal

  • Last TB test date (RN Only)
     - -
  • Have you taken a Food Safety course?*

  • AVAILABILITY FOR WORK

  • What date can you start?*
     - -
  • Are you willing and able to commit to a 40 hour work week?*
  • *
  • Rows

  • TYPE OF WORK SEEKING

  • Type of Position(s) Preferred*
  • Live-in care usually requires that you stay in a client’s home continuously for 3-4 days at a time every week. Indicate which shifts you will accept:*
  • Indicate which of the following you have experience in:*

  • Assignment Locations

  • YOU ARE REQUIRED TO WORK IN CHARLESTON, BERKELY, DORCHESTER & COLLETON COUNTY ETC.....


    YOU ARE REQUIRED TO WORK EVERY OTHER WEEKEND.

  • TRANSPORTATION

  • Type

  • Do you have your own personal, reliable vehicle? (This is a Requirement)*
  • Do you have a smartphone with internet/GPS? (This is a Requirement)*

  • ABUSE INVESTIGATION

  • Have you ever been investigated for abuse, neglect, or domestic violence? If “yes”, explain:*
  • Do you have a felony/misdemeanor on your record?*
  • Do you have any prior convictions? (If yes list charge and date)*

  • Up Coming Events Appointment Vacation etc..

  • Do you have any prior engagement coming up within the next 6 months?*

  • REFERENCE INFORMATION

  • Work Related #1 (Last Position)

  • Format: (000) 000-0000.
  • Dates of Employment*
     - -
  • Dates of Employment*
     - -

  • Work Related #2 (2nd Last Position)

  • Format: (000) 000-0000.
  • Dates of Employment*
     - -
  • Dates of Employment*
     - -

  • References

  • List 3 Professional reference.

    Professional Reference should be relevant to the positon you applied for. (Previous Supervisor)

     

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • I certify that, to the best of my knowledge, the answers given are true and complete and that purposeful misrepresentation may result in rejection of my application. I authorize investigation of all statements contained in this application, as required.


    Additionally, I authorize former employers, references, and any other individual/organizations to provide information to Jenkins Home Care I and hereby release and discharge any of the above and Jenkins Home Care from any liability of any kind or nature. I also understand that it is my responsibility to keep such information current and accurate by updating it as often as necessary. We are a drug free work zone.


    I agree to a physical examination, if requested, and understand that failure to meet any medical and/or health requirements for the position may prevent my employment with the Agency. I also understand that employment for certain positions may be conditional upon successful completion of a substance abuse screening test, criminal background check etc..


    I further understand that, if hired, I may be required to provide proof that I am a citizen of the United States or proof that I am currently authorized to work in the United States.

    This application will be considred active for 30 days. For consideration after 30 days you must reapply.

  • Date*
     - -
  • Should be Empty: