• Employment Application — Affinity Care Partners

    Complete this mobile-friendly application and submit your information for review (conditional offer required before background/registry checks).

  • Applicant Information

  • Format: (000) 000-0000.

  • Position and Employment Preferences

  • Employment Type*
  • Availability Days*
  • Earliest Available Start Date*
     - -
  • Reliable Transportation*
  • Valid Driver License If Required for the Role
  • Able to Travel Within Service Area*
  • Legally Authorized to Work in the U.S.*
  • Will Sponsorship Be Required*

  • Education and Work History

  • Workplace Eligibility and Acknowledgments

  • Can you perform the essential job functions of this position, with or without reasonable accommodation?*
  • Acknowledgments*
  • Date*
     - -

  • Certified Peer Support Specialist Conditional Section

  • NC CPSS certification status*
  • NC CPSS certification expiration date
     - -
  • Voluntary lived-experience disclosure
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  • Direct-Care Conditional Section

  • Current CPR/First Aid certification*
  • Driver's license available for job-related travel
  • Vehicle insurance available for job-related travel
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  • Qualified Professional / Licensed Clinician Conditional Section

  • License/Credential Expiration Date*
     - -
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  • Should be Empty: