Join The Team

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Full Name *

First

Last

Email Address *

Phone Number *

Current Address *

Address Line 1

Address Line 2

City

State

Zip Code

Are Your 18 Years Or Older? *

Employment Information

Desired Position *

Personal Assistant
Housekeeper
Companion
Driver

What days are you available? *

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Date Available *

Desired Wages *

Specify Hours / Days *

Work Availability Preference *

Education Information

Did You Graduate High School *

Name Of High School *

Did You Go College *

Name Of College

What Did You Major

Drivers License Number

Drivers License State

Expiration Date

Former Employer #1

Company Name *

Company Address *

Company Phone Number *

Previous Position *

Starting Salary *

Ending Salary *

Start Date *

End Date *

Reason For Leaving *

Former Employer #2

Company Name

Company Address

Company Phone Number

Previous Position

Starting Salary

Ending Salary

Start Date

End Date

Reason For Leaving

References

Name *

Phone Number *

Address *

Type Of Business *

# Years Acquainted *

Name *

Phone Number *

Address *

Type Of Business *

# Years Acquainted *

Name

Phone Number

Address

Type Of Business

# Years Acquainted

Criminal Record

Any Felonies In The Past 7 Years *

Have you been convicted of a felony within the past 7 years? Conviction will not necessarily disqualify an applicant from employment.

If Yes, Please Explain:

Agreement *

California Code: By checking this box, you acknowledge that you have read and understood California Civil Code Section 1812.501.
I acknowledge & concent to be contacted by an Innovative Senior Care representative when submitting this online job application.
I DECLARE under penalty of perjury that I understand that my falsification, misrepresentation or omission of facts stated in this application or verbally to the Company, will result in immediate dismissal or removal of my application from consideration.

Disclaimer: Innovative Senior Care Inc. is not a medical or home health agency. We are a staffing/referral agency for clients in their homes; such as drivers, housekeepers, companions, and personal assistants. We do not provide home health aides or medical care aides. We are not a facility either. We offer staffing/referrals for seniors for their daily needs.

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