Employment Application

Thank you for your interest in becoming a SCHAS caregiver.

Before you begin the application process, please review the following criteria. All must be met before considering this position:

You must be at least 18 years old.
You must be able to pass a thorough background screening.
You must be able to pass a physical and drug screening.
You must be able to provide evidence of a valid driver’s license and automobile insurance.
You must speak, read, and write English well enough to communicate effectively and complete paperwork.
You must have reliable transportation.

If you meet all of these criteria, we look forward to receiving your application!

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Phone Number

Please enter a valid phone number.

Upload a copy of your resume (optional)

Do you have a valid Driver's license and auto insurance?

Do you have reliable transportation?

Have you ever been convicted of a crime?

As part of our employment process, applicants may be required to undergo drug screening. Are you able to comply with this requirement?

Are you able to perform the essential functions of this job, with or without reasonable accommodation?

WORK HISTORY

Please provide the last three employmers and include the following:

Company Name, City and State, Phone

Supervisor Name, Phone and Email

Job Title, Start and End Date

List of duties

Employment #1

Employment #2

Employment #3

Please provide 3 references. Include full name, phone number and/or email address.

Please select first date of availability.

Date

Please indicate which Counties you would like to work in? We serve the following counties: Anderson, Blount, Campbell, Claiborne, Cocke, Grainger, Greene, Hamblen, Hamilton, Hancock, Jefferson, Knox, Loudon, McMinn/Meigs, Monroe, Roane, Scott, Sevier or Union counties.

How did you hear about us?