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8
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1
Please provide us with your contact information
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First Name
Last Name
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Please enter your phone
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2
Do you have any relevant certifications?
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e.g. CNA, HHA, RN, etc
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3
How many years of professional caregiving experience do you have?
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4
What type(s) of care are you able to provide?
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Please select all that apply
Household Tasks
Personal Care
Errands
Mobility Assistance
Bathing/Grooming
Transportation
Meal Preparation
Specialized Care
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5
What type(s) of employment are you looking for?
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Please select all that apply
Part Time
Full Time
On Demand/As Needed
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6
Please select the soonest date you are available to start
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Date
Year
Month
Day
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7
What are you looking to charge per hour?
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e.g. $25
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8
What is your zip code?
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Providing us with your zip code allows us to help match you with jobs close by
e.g. 94115
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