Elder Love USA employment pre-interview questions

Thank you for your interest in joining the Elder Love USA team! We are the ONLY nonprofit senior caregiving agency that provides in home caregiving for older adults. We aim to provide the same level of caregiving as other agencies, but for a fraction of the cost. To help us better understand you, your skills and your availability, please fill out this form.

First NameLast Name

Email

example@example.com

Phone Number

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

1. Are you able to pass a live scan fingerprint felony background check? (MUST be able to pass to proceed)

YesNo

3. Are you currently registered as a home care aide with the Dept of Social Services?

YesNo

4. If you are currently registered as a home care aide, can you provide your HCA #?

YesI am not currently registered as a home care aide.

5. How many years of caregiving experience do you have?*

No experience, but interested in learning1-2 years3 or more years

6. What languages are you fluent in?*

7. I have helped older adults with the following (check all that apply):

8. Are you familiar with WellSky software (formerly ClearCare) for clocking in/out of shifts?

YesNo

9. Are you comfortable using smartphone apps to clock in/out of shifts?

YesNo

Tell us about your availability and preferred shifts:*

Which surrounding cities are you willing to drive for work?*