Application for Home Care Job with Home Care Matters

Information Form

Our Open Job Opportunities are located in Flowery Branch, Braselton, Buford, Dacula, Duluth, Gainesville, Hoschton, Johns Creek, Lawrenceville, Oakwood, Sugar Hill, Suwanee, Barrow County, Monroe County, Gwinnett County, Hall County, Jackson County, and North Fulton County

First Name *

Last Name *

Phone *

Email *

City *

How did you hear about us? *

Preferred Contact Method *

Email

SMS

Phone

I am a CNA *

I Have 1-4+ Years as a CNA/ PCA *

I Have Hoyer Lift Experience *

I am Willing to Work With Clients Who Require a High Level of Care (Bed Bound, Hoyer Lift, Multiple Diagnoses) *

I Can Pass a National Background/Fingerprint/Drug Screen Test. *

I Have a Current TB Test Result/ Chest XRAY *

Upload TB Test Results Here (OPTIONAL)

Upload File

I Have a Current CPR / 1st Aid Certification *

Upload Your CPR/1st Aid Certification Below (OPTIONAL)

File Upload

I Have Reliable Transportation To and From Work *

I am Willing To Travel 25+ Miles *

I Am Available for: (Select All That Apply) *

Day Shifts

Night Shifts

Weekend Shifts

Please note that by filling out this form, you are authorizing Home Care Matters to contact you via phone call, text message or email for the purpose of discussing employment opportunities and staffing. This consent applies regardless of whether or not you are registered on any state or federal Do Not Call List. We value your privacy and will not share your information with any third parties except as necessary to fulfill your request. If at any time you wish to opt-out of receiving further communications from us, you may do so by contacting us directly. Please note that opting out may affect our ability to provide you with information about potential employment opportunities.

I Consent to be Contacted by Home Care Matters *

I Agree/Authorize/Consent

Home Care Matters is an Equal Opportunity Employer M/F/D/V. If you have any difficulty using our online system and you need an accommodation due to a disability, you may use this alternative email address to contact us about your interest in employment: [email protected]