Apply for CGA - Clearfield - Caregiver

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

Summary
Title:	CGA - Clearfield - Caregiver
ID:	6881_CLR
Location:	Clearfield
Office:	Clearfield, PA
Hours Required:	N/A

Resume
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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
* Cover Letter:	You can type in a Cover Letter or Copy/Paste from an existing document.

Screening Tool - PA (Clearfield)

* 1. What is your primary mode of transportation?

Select the County/Cities you would like to work in:

* Clearfield County

* Centre County

	Philipsburg
	State College
	None

* Jefferson County

	Punxsutawney
	Brookville
	None

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

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

* 5. Have you worked for CareGivers America, or Modivcare in the past?

	Yes
	No

* 6. Are you applying to work with a specific client?

	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)

* 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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	Vehicle
	Public Transportation
	Uber/Lyft
	Family/Friend Gives Ride
	Walking

	Clearfield
	Curwensville
	Mahaffey
	DuBois
	None

	Days
	Evenings
	Overnights
	Weekdays
	Weekends

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

	English
	Spanish
	Nepalese
	Chinese
	German
	Pennsylvania Dutch
	Italian
	French
	Other (please specify)