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Call: + 1 253-334-1521

Prestigious Homecare Applicant Profile

Personal Info

Date *

First name*

Last name*

Birthday*

Month

Day

Year

Email*

Phone*

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Job Info

Position you are applying for*

What type of work schedule are you looking for?*

Full-time

Part-time

On-call

On what days are you available to work?*

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Available start date*

Month

Day

Year

Are you legally eligible to work in the country?*

Yes

No

Have you ever been convicted of a felony?*

Yes

No

Have you ever been convicted of a felony?*

Yes

No

Have you ever been convicted of or investigated for child abuse or abuse of a vulnerable adult?*

Yes

No

Has your license ever been revoked/ suspended for any reason?*

Yes

No

If yes, please explain:

Do you currently have a car?*

Yes

No

Are you willing to travel to and from work?*

Yes

No

If you do not have a car, what will your main mode of transportation be?*

Do you have a Washington State–issued driver’s license?*

Yes

No

Are you comfortable working in a home with pets?*

Yes

No

Are you comfortable working with clients who smoke?*

Yes

No

Education History

Highest level of education*

School Name(s)*

Add at least 2 of the most recent

Please select any certifications you currently hold, if applicable*

CNA

CPR

Food Handler's Permit

NAR

Employment History

Provide at least 2 of your most recent if applicable

1.

Company Name*

Position/Title*

Duties*

Start Date*

End Date*

2.

Company Name*

Position/Title*

Duties*

Start Date*

End Date*

3.

Company Name

Position/Title

Duties

Start Date

End Date

References

Provide a minimum of 3 references*

Provide Name, Company/Organization, Phone Number/Email Address

Link to CV/LinkedIn

Upload Resume*

By ticking this checkbox, I hereby authorize the company to conduct a background check on me. I understand that this may include verification of personal, employment, educational, and criminal history, as permitted by law.

I confirm that my responses are honest and complete, understanding that providing inaccurate information may lead to termination if employed. I acknowledge that all client assignments and responsibilities remain under the provider’s authority and that workers are not permitted to assume ownership or control over any client’s care or services.

CONTACT US

First name*

Last name

Email*

Write a message

CALL

+ 1 253-334-1521

EMAIL

info@prestigioushc.com

ADDRESS

7819 161st St E Ste 3-e

Puyallup, WA 98375

OPENING HOURS

Open 24 hours a day, Mondays – Sundays

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