• UNICare Home Health Services, LLC Employment Application

    Please complete this application to be considered for employment with UNICare Home Health Services, LLC.
  • Format: (000) 000-0000.
  • Earliest Possible Start Date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Availability and Service Area

  • Which counties are you willing to work in?*
  • Which days are you available to work?*
  • Which shifts are you available to work?*
  • Which languages do you speak fluently?*
  • Do you have reliable transportation to travel to clients’ homes?*
  • Do you have a valid driver’s license?*
  • Do you have current automobile insurance?*

  • Qualifications and Eligibility

  • Do you have a valid Home Health Aide (HHA) or CNA certificate?*
  • Is your CPR certification current?*
  • Have you completed a Florida Level 2 background screening?*
  • Are you legally authorized to work in the United States?*
  • Are you willing to complete all employment and agency requirements before receiving a client assignment?*

  • Professional References

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
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  • Upload a File
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  • Preferred Interview Date *

  • Applicant Certification
    I certify that the information provided in this application is true, complete, and accurate. I understand that providing false or misleading information may result in disqualification or termination of employment. I authorize UNICare Home Health Services, LLC to verify the employment, credentials, certifications, and professional references provided. I understand that submitting this application does not guarantee employment or a client assignment.

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: