Home Care:: First Choice Services Inc

Testimonials


"I am really glad that this company was referred to me for my father who is elderly and disable. The management staff is friendly and always ready and available to assist. Thank you!"
-- Reginald Spence


Affiliations

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TennCareChoices



Apply for Personal Care Home Aide

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:Personal Care Home Aide
ID:1001
Department:Choices
Location:Shelby County
Contact Information
* Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
Email:
Referred By:
Attachments
Resume:
Supported formats: Word, PDF, RTF, Text, and HTML.
Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
Personal Home Aide
Please answer each question truthfully and to the best of your ability. All job references will be checked before hiring considerations.
* Are you authorized to work in the United States for any employer?
Yes
No
* What is your Date of Birth?
* Would you be able to as a PRN until a permanent assignment is available if hired?
Yes
No
* Have you ever been convicted of a felony or a misdemeanor in the past 7 years?
Yes
No
If Yes, please explain.
* What minimum salary do you require?
* What type of hours are you seeking?
1st Shift (Days)
2nd shift (Afternoons)
3rd shift (overnight)
PRN (As Needed)
Weekends Only
* Are you a CNA (Certified Nurse Assistant), can you provide us with a copy of your certification?
Yes
No
* Do you have a vehicle?
Yes
No
* What days and hours are you available to work?
* When can you start?
* How many years of experience do you have in the home care field?
less than a year
2-5 years
over 5+ years
* Are you employed now?
Yes
No
* If so may we contact your present employer?
Yes
No
* How did you hear about First Choice?
* Do you understand and agree that this position may require you to work on holidays and inclement weather?
Yes
No
* Do you have valid car insurance and able to provide us with a copy of your insurance card?
Yes
No
* Summarize special skills and qualification acquired from employment or other experiences that may qualify you to work for this company.
* Please list last 3 employers and contact information to include Name of Company, Address, Phone Number, and Supervisor Name.
* Have you had a current TB skin test?
No, but I will agree to have one done for a fee of $20.00.
Yes and I can provide you with a copy of my recent screening
Have you ever worked for a another personal support, home health, or hospice agency? If so, please list them below.
* Can you provide us with a copy of BOTH of the following documents before consideration of hire?
Social Security Card and Current Drivers License
Yes
No
* Are you CPR certified? Do you have a CPR card?
No
Yes, and I have a copy of my CPR card
No, but I will agree to attend a class and receive my certification for $40.00.
* Upon hire, First Choice requires all employees to attend new hire orientation and new hire training class. Failure to attend will not qualify you for hire or termination. Also, after one year of employment, you must attend at least 12 hours of ongoing training. Do you agree to the terms of this policy?
Yes
No
* First Choice has a dress code policy that will require you to purchase a First Choice uniform shirt or wear clean matching scrubs that you already own. Do you own any matching scrubs?
Yes
No
* Have you ever been discharged from a previous job? If yes, please explain.
Are you a Medical Assistant?
Yes
No
Please list any recent certifications or training classes that you have attended in the past year.
* In summarizing your overall experience in this field, which of the following individuals would you say "I consider myself a specialty in this area".
Elderly (Total Care/ Bed Bound)
Elderly (Homemaker, Companionship, Light duty Personal Support)
All ages (Total Care/Bed Bound including Paraplegics)
Mentally Ill patients (DMRS or DIDS trained)
Alzheimer Patients
* First Choice require the following checks be performed on each applicant before hire: Criminal, Felony, Probation, Sexual Registry, Abuse Registry, Fraud, and Meth. To the best of your knowledge, would your name be found on any of the following screenings?
Yes
No
* In your past jobs, have you ever used a phone time tracking system that allowed you to clock in and out using a landline phone.
Yes
No
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The Information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
1) Your Gender:
Female
Male
I Choose Not to Respond
2) Your Race:
American Indian or Alaska Native (Not Hispanic or Latino)
Black or African American (Not Hispanic or Latino)
Hispanic or Latino
Asian (Not Hispanic or Latino)
White (Not Hispanic or Latino)
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
Two or More Races (Not Hispanic or Latino)
I Choose Not to Respond
3) Veteran Status:
Vietnam Era Veteran
Disabled Veteran

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