Apply for Caregivers America - York (Franklin County) - Caregiver

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

Summary
Title:Caregivers America - York (Franklin County) - Caregiver
ID:8859
Location:Fayetteville, PA
Office:York, PA
Hours Required:N/A
Contact Information
* First Name/Nombre:
* Last Name/Apellido:
Address 1/Direccion:
Address 2/Direccion:
* City/Ciudad:
* State/Estado:
* Zip Code/Codigo Postal:
* Cell Phone/Telefono:
* Email/Correo Electronico:
Application Information
Are you applying to work with a specific CLIENT who requested you?:
If yes, please list the CLIENT's first initial and last name.:
Opt-In Confirmation
By submitting this application, I consent to receive SMS updates from Modivcare at 8444362761 regarding my employment application. My information will not be shared or used for any other purposes. This application is powered by ApplicantStack on behalf of Modivcare. SMS messages will only be sent by Modivcare and are used exclusively for hiring-related communications when you have subscribed to receive SMS communications.
Attachments
Resume:
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Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
Screening Tool - PA (York - Franklin County)
* 1. What is your primary mode of transportation?
Personal Vehicle (I drive myself)
Public Transportation (bus, train, etc.)
Uber/Lyft
Family/Friend Gives Ride
Walking
* 2. Do you have a valid driver's license?
Yes
No

Select the County/Cities you are available to work in:

* Franklin County
Fayetteville
Other (please list below)
* 3. Are you willing to work: (select all that apply)
Days
Evenings
Overnights
* When are you available to work?
Only weekdays
Only weekends
Weekdays and Weekends
* 4. Do you hold a current Certification/License in Home Care?
Direct Care Worker
HHA Certificate
CNA License
Registered Nurse (RN)
License Practical Nurse (LPN)
None of the Above / Ninguno
* 5. Have you worked for CareGivers America, or Modivcare in the past?
Yes
No
* 6. Are you applying to work with a specific client? If yes, please include client's first initial and last name
Yes
No
If yes, select any of the below options that are applicable for the client:
Client is a Minor
Minors are in the Home
Client is a Friend
Client is Family
* 7. To better support our diverse community and ensure effective communication, please share the languages you speak (select all that apply)
English
Spanish
Nepalese
Chinese
German
Pennsylvania Dutch
Italian
French
Other (please specify)
* The facts set forth in this application are true and complete to the best of my knowledge. I understand that falsified statements on this application shall be considered sufficient cause for immediate discharge once employed. I hereby authorize investigation of all statements contained herein and release all parties from liability for confirming/denying the information provided.

I understand that neither this application nor any part of consideration for employment establishes an obligation for the company to hire me.

I attest that I am over 18 years of age and am legally eligible to work in the United States of America.

I agree that this form may be electronically signed and agree that my typed signature is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.
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