What are your long-term dreams and aspirations? Please include both personal and professional goals.

**we operate 24/7. Please be sure to include all hours you are able to work. The more available you are the more likely it is to get your desired hours. What is your preferred number of hours per week? :

Imagine you have been on your feet and working hard all day. A customer that you have been dealing with is rude and impatient, what do you do?

How will you be able to contribute to providing seniors with high quality care?

Think of the WORST supervisor you have ever had, what characteristics made that person a poor manager?

We may schedule you up to 25miles from your home in any of our service areas shown below. How far are you willing to drive if more than 25miles? :

What was your least favourite job and what did you dislike about it?

What was the best job you ever had and why?

What do you think is the most difficult part of In-Home Care or customer service work?

Think of the BEST supervisor you have ever had, what characteristics made that person a good manager?

How did you hear about us? Examples; Facebook, Indeed, LinkedIn, Employee Referral:

Please provide your maiden name as well as any other alias you have been known by. :

I certify that all the information I have provided is true, complete and correct. The information contained within this application or any cover letter or resume attached is not shared with any third parties. The information is used by the employer only as an aid in the hiring decision making process. The applicant, by signing the application gives the employer consent to collect the information contained herein and use for the purpose specified. I authorize this company to investigate all statements contained on this application. I understand that any misrepresentation or omission of facts called for is cause for immediate disqualification and/or if employed, immediate dismissal. I understand, that as part of the application process, Tender Loving Family Care, Inc. will access, prior to hiring, the Employee Misconduct Registry and the Nurse Aide Registry to determine if an individual is eligible for employment. In addition, I understand that the registry results will become part of my confidential, personnel file at Tender Loving Family Care, Inc. and Tender Loving Family Care, Inc., may deny or terminate employment with a finding concerning abuse, neglect, or exploitation, or mistreatment of a patient of an agency or facility, or misappropriation of a patient’s property. I give my former/current employer, authorization to provide a reference check to my potential employer. I am aware and acknowledge the information referred to above is not shared with any third parties. By signing below I give the employer consent to collect the information contained herein and use for the purpose specified. I understand that if I am hired, I will be required to provide criminal background check at my cost, proof of identity and legal authority to work in the US, proof of certifications or educational qualifications, and a drivers abstract (if applicable). If understand that if I’m offered and accept employment with Tender Loving Family Care, Inc. in the interest of safety for all concerned, you may be required to take a urine test for drug and/or alcohol use. We may also request a random drug/alcohol test during your course of employment (random request will be required to be completed immediately upon request).I have been fully informed of the reason for which I would be tested. I understand the procedure I agree to comply with this policy. I do hereby freely give my consent for a urine test for drug and/or alcohol use to be conducted by provider of Tender Loving Family Care, Inc. choosing. In addition, I understand that test results will be forwarded to Tender Loving Family Care, Inc. and become part of my record. If a test result is positive, and for this reason I am not hired, or have any negative impact on my employment, I understand that I will be given the opportunity to explain the results of the test. I understand that this authorization will be valid during my period of employment with Tender Loving Family Care, Inc. and hereby authorize test results to be released to Tender Loving Family Care, Inc. Furthermore, I understand and agree that if employed, I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same rights to terminate my employment at any time, with or without prior notice, except as may be required by law. This application does not in any way constitute an agreement or contract for employment.