Employee Application Home/Employee Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Personal Information Full Name *FirstLastPhone Number *Email *Address *City *State *Zip code *Position Information Position Applying For *Employment Type *Full-TimeFull-TimePart-TimeOn-CallPreferred ShiftDayEveningOvernightAnyWork Eligibility Are you legally authorized to work in the U.S.? *YesNoAvailable Start Date *Driver Information Do you have a valid Driver's License? *YesNoDo you have reliable transportation? *YesNoExperience Have you worked in any of the following? (Check all that apply)Community Residential Services (CRS)Home CareAssisted LivingDevelopmental DisabilitiesMental HealthNoneYears of ExperienceNoneLess than 1 Year1–3 Years3+ YearsEducation Highest Education CompletedHigh School/GEDAssociate DegreeBachelor's DegreeOtherResume Upload Resume (PDF, DOC, DOCX) Click or drag a file to this area to upload. Additional Information valid Full Type Why would you like to work at Priority Care Homes? (Optional)Applicant Certification CheckboxesI certify that the information provided is true and complete to the best of my knowledge.Electronic Signature * Clear Signature Date *Submit Training Sessions Maltreatment of Adults Mandated Reporter Test Maltreatment of Adults Mandated Reporter Training Homecare Safety Infection Control Mental Health Crisis for Families Mental Health Resources Basic First Aid Training Emergency and Basic First Aid Orientation Mandated Reporter Training Child Protection Response Data Privacy Training CFSS training and Test
