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Employment

Current Openings

Position: Home Care Aide
Helping Hands NKY is currently looking for Home Care Aides.
Purpose: The home care aide provides care and support to our clients in the comfort of their homes. Individuals must possess compassion, reliability and a caring personality. Applicants must pass a background check, not be listed on ANY abuse registry, pass a drug screening, have a valid driver’s license and motor vehicle insurance, and take and test negative for active Tuberculosis. HHNKY provides a family atmosphere for employees. We are an Equal Opportunity Employer.

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Employment Application Form

APPLICANT INFORMATION

Last Name(required)

First Name(required)

M.I.

Date

Street Address(required)

Apartment/Unit #

City(required)

State / Province(required)

Zip/Postal Code

Home Phone(required)

ex. +1-541-754-3010

Cell Phone

Email address(required)

Date Available(required)

Desired Salary

Position Applied for

Have you ever worked for Helping Hands NKY, LLC?

YES

Are you a citizen of the United States?

YES

If no, are you authorized to work in the U.S.?

YES

Have you ever been convicted of a felony?

YES

If so, when?

If yes, explain

EDUCATION

High School

City / State

From

College

City / State

From

Other

City / State

From

REFERENCES

Please list three professional references.

Professional Reference 1

Full Name(required)

Company(required)

Relationship(required)

Address

Phone(required)

Professional Reference 2

Full Name(required)

Company(required)

Relationship(required)

Address

Phone(required)

Professional Reference 3

Full Name(required)

Company(required)

Relationship(required)

Address

Phone(required)

PREVIOUS EMPLOYMENT

Current or Most Recent Employer Information

Company(required)

Address

Phone Number(required)

Supervisor(required)

Job Title(required)

Starting Salary $

Ending Salary $

Responsibilities(required)

Employment Dates

From(required)

To(required)

Reason for Leaving(required)

May we contact your previous supervisor for a reference?(required)

Yes

Additional Employer Information

Company

Address

Phone Number

Supervisor

Job Title

Starting Salary $

Ending Salary $

Responsibilities

Employment Dates

From

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

Additional Employer Information

Company

Address

Phone Number

Supervisor

Job Title

Starting Salary $

Ending Salary $

Responsibilities

Employment Dates

From

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

MILITARY SERVICE

Branch

From

Rank at Discharge

Type of Discharge

If other than honorable, explain

DISCLAIMER

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.(required)

Yes

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Employment

Employment Application Form

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