Apply for Caregiver - Home Instead-Lubbock , TX

Apply for Caregiver

Hello and thank you for your interest in Home Instead. Please fill out the application below and click the Submit button when finished. Fields with an asterisk (*) are required.

Please note that this is the job board for the franchise office located at 1010 Slide Rd., Lubbock, TX 79416. Each Home Instead franchise is independently owned and operated. To find a franchise near you, please visit the Careers page.

For job related questions please call the franchise office at 806.281.4663.

Summary
Title:	Caregiver
ID:	20252
Department:	Client Services
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
Email:
Opt-In Confirmation
	The application is powered by ApplicantStack on behalf of Home Instead-Lubbock , TX. By submitting this application, I consent to receive SMS updates from Home Instead-Lubbock , TX at (877) 803-4085 regarding my employment application. SMS Messages will only be sent by Home Instead-Lubbock , TX exclusively for hiring-related communications. Your mobile information will not be shared with third parties or affiliates for marketing or promotional purposes. Message frequency varies. Message and data rates may apply. Reply HELP for help or STOP to opt out.
Attachments
Resume:	Supported formats: Word, PDF, RTF, Text, and HTML.

	- or Upload from:


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

Additional Information

* How did you hear about Home Instead?

If applicable, please specify:

Care Pro Prescreening Questions

Please answer the following questions.

* Are you 18 years or older?:

	Yes
	No

* Are you able to lift 25 pounds?:

	Yes
	No

* Do you have reliable transportation to and from client homes?:

	Yes
	No

* Do you have a valid driver’s license and current auto insurance?:

	Yes
	No

* Are you comfortable assisting clients with personal care, including bathing, dressing, toileting, and incontinence care?:

	Yes
	No

* Are you willing to complete a background check and drug screening as part of the hiring process?:

	Yes
	No

CAREGiver v4 Employment Application

BASIC INFORMATION

* Have you ever submitted an application here before?

Yes No

If yes, when?

* Are you able to perform the essential functions of the job for which you are applying with or without a reasonable accommodation?

Yes No

WORK HISTORY

MOST RECENT EMPLOYER

* Are you currently working for this employer?

Yes No

* If yes, may we contact?

Yes No

* Company Name:

* City:

* State:

* Company Phone:

* Dates Employed - From:

* Dates Employed - To:

* Duties:

Reason for Leaving:

REFERENCES

If you are considered for a position, we may contact your references and would ask that you notify them in advance. Please do not list relatives or family/relations.

Professional References

Full Name	Phone Number	Best Time of Day to Call	Email	Relationship (No Relatives)	Number of Years Known
		AM PM
		AM PM

Personal References

Full Name	Phone Number	Best Time of Day to Call	Email	Relationship (No Relatives)	Number of Years Known
		AM PM
		AM PM

APPLICANT NOTE

Fortress Home Care, LLC is an independently owned and operated Home Instead® franchise 1010 Slide Rd., Lubbock, TX 79416 806.281.4663.

This application will be valid for 60 days. If you need further assistance for any phase of the employment process, please notify the person who gave you this form and every reasonable effort will be made to meet your needs in a reasonable amount of time.

This application that you have completed online is intended for use in evaluating your qualifications for employment with us, an independently owned and operated Home Instead franchise. This is not an employment contract. Please be sure that you answered all appropriate questions completely and accurately. False or misleading statements during the interview and on your application materials are grounds for terminating the application process or, if discovered after employment begins, terminating employment. All qualified applicants will receive consideration and will be treated throughout their employment without regard to race, color, religion, sex, national origin, age, disability, or any other protected class status under applicable law.

CERTIFICATION

I certify that I have read and understand the applicant note above and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts in this application process may result in rejection of my application or discharge at any time during my employment. I authorize the company and/or its agents to verify any of the information included in this application. I also understand that the use of illegal drugs is prohibited when carrying out my job responsibilities. I am willing to submit to drug screening if requested to detect the use of illegal drugs prior to and during employment, as allowed under applicable law.

I understand that this application is not a contract for employment.

By typing your name below you are electronically signing this document.

* Signature (type full name):
* Date:

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