Career Opportunities

 

You can apply online. Care Purpose is currently hiring for the following :

Care Purpose if currently accepting employment applications for the following positions below. Please apply online to be immediately considered.

  • Registered Nurse (RN)
  • Licensed Practical Nurse (LPN)
  • Certified Nurse Assistant (CNA)
  • Companion/Sitter
  • Marketing
  • Sales
  • Other*
*= Required Information
 
Employment Applications

We are dedicated to a policy of nondiscrimination in employment on any basis including race,color,age,sex,religion,disability or national origin.

 

Date of Application*

Name*

Address*

City*  

State*  

Zip*  

Phone Number

Cell Phone  

Email*  

Referred by:

In case of an emergency who should we contact?

Name

Address  

Phone Number  

What days of the week are you available to work?

Mon
Tues
Wed
Thurs
Fri
Sat
Sun
6am-9am
9am-12pm
12pm-3pm
3pm-6pm
6pm-9pm
9pm-12am
12am-3am

Have you resided in Georgia 5 years or more?

Yes
No

(If you have resided in another state, a nationwide criminal background will be completed).

If so, please list all previous states resided in, along with corresponding dates.

Are you at least 18 years of age?

Yes
No

Can you legally work in the United States?

Yes
No

Have you ever been convicted of,
or plead guilty to, found guilty of,
and/or plead nolo contendere to a
felony or misdemeanor, except for
a minor traffic violation?

Yes
No

If yes, please explain

Have you ever been charged with a crime
that has not yet resulted in a plea of
guilt,court, trial, deferred adjudication or
dropping of the charge?

Yes
No

If yes, please explain

Have you ever been discharged (fired, laid-off, etc.) from a job?

Yes
No

If yes, please explain

(add attachment if necessary)

Have you ever had any professional or
occupational license or certification
suspended/revoked?

Yes
No

If yes, please explain

(add attachment if necessary)

Are you able to meet the attendance
requirements of this job?

Yes
No

Are you able to perform the essential
job duties listed in the job description?

Yes
No

Are you prevented from lawfully
becoming employed in this country
because of Visa or Immigration status?

Yes
No

Have you ever used an alias (first and/or last name) or social security number

Do you consent to pre-employment
background/criminal record check
(including all open and closed records)?

Yes
No

Answering yes to any of the above will not automatically disqualify you for employment.

Education

Institution

Name and location of the school

Year Attended

Date Graduated

Areas of Study

High School

College

Trade or Business School

Employment desired.Please check the one that applies to you.

 RN   LPN   CNA   Companion/Sitter   Marketing   Sales   OTHER

Date available to work  

Salary required $  

Are you currently employed?

If yes, may we inquire of your present employer?

Do you speak any foreign languages?

If Yes, which language do you speak?

Employment History

List complete employment history for the past seven(7) years, with your most recent job first.
Use separate sheet if necessary.

Date(MM/YYYY)

Name and Address of Employer

Salary

Position

Reason you left

Business References

Name

Address & Telephone Number

Business

How Long

 1. 
 2. 
 3. 

Personal References

Name

Address & Telephone Number

Business

How Long

 1. 
 2. 
 3. 

Registration

Indicate license or certification for any profession,skill or trade.

Occupation

State

Expiration Date

License Number

State

Expiration Date

License Number

State

Expiration Date

License Number

State

Expiration Date

If you have applied for state registration, please indicate date of app

List additional, skills and knowledge of equipment you may have to assist you with in-home healthcare

Additional Certification and/or Degrees

 

*Attach Resume  

 

Confidentiality

Information including personal and medical information will not be discussed with anyone other than persons who have proper authorization, information in this application or its information will not be shared, or sold to anyone.

 

Information you are submitting to Care Purpose, including personal, criminal and medical, will not be discussed or disclosed to anyone other than those persons who have proper authorization to information on this application.

*I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that omission, false, or misleading information in my application and / or interview may result in my discharge / termination from employment.

 

*I understand and authorize Care Purpose to obtain a criminal history background check, closed record check, an Employee Disqualification List, and Family Care Safety Registry, and Federal Bureau of Investigation, if applicable Care Purpose. may contact my former employment in connection with the consideration of my employment. All references are hereby authorized to release all information which they may have relevant to my employment and experience. I hereby release Care Purpose. it employees, affiliates, and successors, from any liability that my arise due to information provided by such references

 

*I understand that this application remains current for only 120 days maybe. At the conclusion of that time, if I have not heard from Care Purpose, and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.

 

*This application does not constitute an agreement or contract for employment for any specified period or define duration. I understand that no supervisor or representative of Care Purpose. is authorized to make any assurances to the contrary and that no other agreement(s) are valid unless they are in writing and signed by the owner / director.

 

  *I agree that if hired I will follow all state rules and regulations, company policies and procedures, rules and all other directives pertaining to my employment and I undertand that Care Purpose, reserves that right to add/or delete any company policies and procedures, rules and all other directives and/or benefits at any time.

 

DO NOT SIGN UNTIL YOU HAVE READ AND UNDERSTAND THE ABOVE STATEMENTS

 

  *I certify that I have fully read, understand and accept all terms .

 

Applicant's Signature    

Date  

 

NO CONSIDERATION OF EMPLOYMENT WILL BE GIVEN TO ANY APPLICANT WHO DOES NOT SIGN STATEMENT

 

Security Code*

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