Comfort keepers - Hollywood FL Employment Application

Carefully and accurately fill out all fields. When ready, click "Submit" below.



1. What prompted you to call Comfort Keepers?
2. Do you have experience working as a Caregiver?
Yes No
3. Do you have a CNA or HHA?
Yes No
4. IF you have CNA or HHA, Are your licenses current?
Yes No
5. Do you have a current drivers license?
Yes No
6. Any moving violations within the last 7 years?
Yes No
7. Are you eligible to work in the US and have valid proof?
Yes No
8. Do you have your own safe autommobile and auto insurance?
Yes No
9. Do you prefer full time or part time hours?
10. Are you currently employed?
Yes No
11. What days/hrs are you available to work for Comfort Keepers?
12. What is the earliest start time you can start in the AM you can be at a Clients home?
13. What is the latest time at night you can stay with a Client?
14. Are you available to do overnight stays?
Yes No
15. Are you available to do live in arrangements?
Yes No
16. Two background checks are required, criminal and motor vehicle is this okay?
Yes No
17. What geographical location do you live in?
18. What areas of town are you willing to travel to?
19. Is there a particular geographical area you prefer not to work?