• Divine Caregiver Application

    Please complete the form below to apply for a position with us.
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  • Date of Birth*
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  • Gender*
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  • What position(s) are you applying for? Can apply to more than one position incase the position is unavailable.*
  • What position(s) are you applying for? Can apply to more than one position incase the position is unavailable.*
  • Start date*
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  • Type(s) of Employment Desired *
  • Rows

  • We do not have minimum service hours for a client. Any client with 1-2 hours will result in a higher pay rate for that client. 

  • Are you legally eligible for employment in this country?*
  • Are you available to work overtime if required?*

  • We compensate employees when they refer clients and caregivers to our company! Must stay with the company for at least 30 days part time or full time.

    Client Referral- $200

    Caregiver Referral- $50

  • If considered for hiring, will you agree to a criminal background check? *
  • If considered for hiring, will you agree to a drivers abstract check?*
  • Do you have the following: (Valid, Up-To-Date, Not Expired)*
  • What kind of work would you like to do?*
  • Clients you are Not Willing/ Able to Work With*
  • Indicate which of the following you are Not Willing/ Able to do:*
  • Transportation*

  • Do you have a valid Driver’s License?*
  • Are you willing to transport clients in your private vehicle?*
  • Do you have adequate vehicle insurance? *
  • Are you willing to drive a client’s vehicle?*
  • Are you willing to escort a client in their own vehicle?*
  • Are you willing to escort a client on public transportation?*
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  • May We Contact This Employer*
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  • May We Contact This Employer
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  • I certify that to the best of my knowledge all the information I have provided is true, complete and correct.

    The information contained within this application or any cover letter or resume attached is not shared with any third parties. The information is used by the employer only as an aid in the hiring decision making process. The applicant, by signing the application gives the employer consent to collect the information contained herein and use for the purpose specified.

    I authorize this company to investigate all statements contained on this application. I understand that any misrepresentation or omission of facts called for is cause for immediate disqualification and/or if employed, immediate dismissal.

    I understand that if I am hired, I will be required to provide criminal background check at my cost of $15 and it will be deducted out of my first pay check, proof of identity and legal authority to work in the United States, proof of certifications or educational qualifications, and a drivers abstract (if applicable).

    Furthermore, I understand and agree that if employed, I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same rights to terminate my employment at any time, with or without prior notice, except as may be required by law. This application does not in any way constitute an agreement or contract for employment.

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