Apply for MC - Lawrence (Groveland) - Caregiver

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Summary
Title:	MC - Lawrence (Groveland) - Caregiver
ID:	5825
Location:	Groveland, MA
Office:	Lawrence, MA
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:
Opt-In Confirmation
	I authorize recruiters from Modivcare to send text messages from 8444362761 with requests for additional information in relation to this job application only. Message/data rates apply. Message frequency varies.
Attachments
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Screening Tool - MA Caregiver

Please complete the below screening questions to help us prioritize and potentially expedite your application review process.

* What type of cases are you willing to work?

* What is your primary mode of transportation?

	Vehicle
	Public Transportation
	Uber/Lyft
	Walking

* Are you available to work more than 1 client (between 1-3 hours per visit) in one day that may require transportation between locations?

	Yes
	No

* What cities/towns would you like to work in?

* How many hours per week are you looking for?/ Cuántas horas deseas trabajar por semana?

* Are you willing to work: (select all that apply)

	Days
	Evenings
	Overnights
	Weekends

* Do you hold a current Certification/License in Home Care?

* Have you worked for Multicultural Homecare, Freedom Homecare, Independence Healthcare, or Modivcare in the past?

	Yes
	No

* Are you applying to work with a specific client? / Estás postulando para trabajar con algún cliente en específico?

	Yes
	No

* To better support our diverse community and ensure effective communication, please share the languages you speak (select all that apply)

* 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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	Home Health Aide
	Personal Care Homemaker
	Homemaker
	Companion
	Heavy Chore

	More than 40/ Más de 40
	31 - 40
	21 - 30
	10 - 20
	Less than 10/ Menos de 10

	Personal Care Homemaker Certificate
	HHA Certificate
	CNA License
	Registered Nurse (RN)
	License Practical Nurse (LPN)
	None of the Above / Ninguno

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	Chinese
	Haitian Creole
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