PERSONAL CARE ASSISTANT APPLICATION FORM
APPLICANT INFORMATION
Name
*
FIRST NAME
MIDDLE NAME
LAST NAME
EMAIL
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
LICENSE RECEIVED?
YES
NO
LICENSE NUMBER
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
SOCIAL SECURITY NUMBER
*
BIRTHDAY
*
-
Month
-
Day
Year
Date
Have you been known by any other name or alias? If yes, please indicate.
*
Have you been out of the country for the last two years? If yes, please indicate.
*
Place of birth
*
Country of Citizenship
*
EXPERIENCE
PREVIOUS CAREGIVER EXPERIENCE #1
ORGANIZATION
*
CONTACT PERSON
*
START DATE
*
/
Month
/
Day
Year
Date
END DATE
*
/
Month
/
Day
Year
Date
TELEPHONE
*
Format: (000) 000-0000.
MAY WE CONTACT?
*
YES
NO
PREVIOUS CAREGIVER EXPERIENCE #2
ORGANIZATION
*
CONTACT PERSON
*
START DATE
*
/
Month
/
Day
Year
Date
END DATE
*
/
Month
/
Day
Year
Date
TELEPHONE
*
Format: (000) 000-0000.
MAY WE CONTACT?
*
YES
NO
PREVIOUS CAREGIVER EXPERIENCE #3
ORGANIZATION
*
CONTACT PERSON
*
START DATE
*
/
Month
/
Day
Year
Date
END DATE
*
/
Month
/
Day
Year
Date
TELEPHONE
*
Format: (000) 000-0000.
MAY WE CONTACT?
*
YES
NO
PREVIOUS CAREGIVER EXPERIENCE #4
ORGANIZATION
*
CONTACT PERSON
*
START DATE
*
/
Month
/
Day
Year
Date
END DATE
*
Format: (000) 000-0000.
DATES WORKED
*
/
Month
/
Day
Year
Date
MAY WE CONTACT?
*
YES
NO
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REFERENCES
REFERENCE #1
FULL NAME
*
POSITION/TITLE
*
Email
*
example@example.com
TELEPHONE NUMBER
*
Format: (000) 000-0000.
DATES KNOWN
*
/
Month
/
Day
Year
Date
REFERENCE #2
FULL NAME
*
POSITION/TITLE
*
Email
*
example@example.com
TELEPHONE NUMBER
*
Format: (000) 000-0000.
DATES KNOWN
*
/
Month
/
Day
Year
Date
REFERENCE #3
FULL NAME
*
POSITION/TITLE
*
Email
*
example@example.com
TELEPHONE NUMBER
*
Format: (000) 000-0000.
DATES KNOWN
*
/
Month
/
Day
Year
Date
CRIMINAL HISTORY
HAVE YOU EVERY BEEN CONVICTED OF ANY FELONY, MISDEMEANOR OR OFFENSES?
*
YES
NO
IF YES, PLEASE DESCRIBE THE DATE AND NATURE OF THE OFFENSE.
*
EDUCATION
COLLEGE #1
INSTITUTION NAME
*
LOCATION
*
MAJOR
*
GRADUATED?
*
YES
NO
END DATE
*
/
Month
/
Day
Year
Date
COLLEGE #2
INSTITUTION NAME
*
LOCATION
*
MAJOR
*
GRADUATED?
*
YES
NO
END DATE
*
/
Month
/
Day
Year
Date
COLLEGE #3
INSTITUTION NAME
*
LOCATION
*
MAJOR
*
GRADUATED?
*
YES
NO
END DATE
*
/
Month
/
Day
Year
Date
HIGH SCHOOL
NAME
*
LOCATION
*
GRADUATED?
*
YES
NO
END DATE
*
/
Month
/
Day
Year
Date
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GENERAL AVAILABILITY
ARE YOU AVAILABLE FOR ALL HOURS?
*
YES
NO
BEING A LIVE-IN MEANS SEVERAL CONSECUTIVE DAYS OF CARE WHERE THE CAREGIVER STAYS AT THE CARE RECIPIENT'S HOME FOR THE ENTIRE NUMBER OF DAYS. ARE YOU INTERESTED IN PROVIDING LIVE-IN CARE?
*
YES
NO
IF YES, CHOOSE MINIMUM NUMBER OF DAYS
*
SKILLS & PREFERENCES
PLEASE CHECK ANY YOU ARE WILLING TO WORK WITH
*
please check IF YOU HAVE EXPERIENCE WITH
*
LIST ANY ADDITIONAL CERTIFICATIONS YOU HOLD
*
ADDITIONAL QUESTIONS
ARE YOU LEGALLY ELIGIBLE TO WORK IN THE USA?
*
YES
NO
ARE YOU AVAILABLE TO WORK ON CALL OUTS, IF NEEDED?
*
YES
NO
HAVE YOU EVER BEEN EMPLOYED AT OUR COMPANY?
*
YES
NO
DO YOU HAVE ANY FRIENDS OR FAMILY EMPLOYED AT THIS LOCATION?
*
YES
NO
DO YOU HAVE RELIABLE TRANSPORTATION
*
YES
NO
IF YES, HOW MANY PER DAY?
*
CPR CERTIFICATION
*
YES
NO
EXPIRATION DATE
*
/
Month
/
Day
Year
Date
TB SCREENING
*
YES
NO
LAST TEST TAKEN DATE
*
/
Month
/
Day
Year
Date
ANY PET ALLERGIES?
*
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Explain the role of a PCA in a home care setting. What are the primary responsibilities of a PCA when it comes to the care of a patient?
*
How would you approach a situation where a patient is resistant to receiving personal care services? What steps would you take to address the patient's concerns and ensure that they receive the care they need?
*
Discuss the importance of maintaining confidentiality and privacy when working as a PCA. What measures can you take to ensure that a patient's personal information is protected?
*
Describe some of the common medical conditions that a PCA may encounter when working with patients. How would you adjust your care approach based on the patient's condition?
*
How would you communicate effectively with a patient who has a language barrier or cognitive impairment? What strategies would you use to ensure that the patient understands their care plan and is able to communicate their needs to you?
*
EMERGENCY CONTACT
EMERGENCY CONTACT #1
NAME
*
RELATIONSHIP
*
PHONE
*
Format: (000) 000-0000.
PHONE ALT
*
Format: (000) 000-0000.
EMERGENCY CONTACT #2
NAME
*
RELATIONSHIP
*
PHONE
*
Format: (000) 000-0000.
PHONE ALT
*
Format: (000) 000-0000.
EMERGENCY CONTACT #3
NAME
*
RELATIONSHIP
*
PHONE
*
Format: (000) 000-0000.
PHONE ALT
*
Format: (000) 000-0000.
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Credentials
Driver's License
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Valid Car Insurance
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Resume
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Social Security
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Updated TB Screening Test
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Vaccine Card
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CPR/ BLS
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RESTRICTIVE COVENANT
FULL NAME
*
SIGNATURE
*
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