Priority Application

First Name *

Last Name *

Phone *

Email *

Are you authorized to work in the United States? *

Yes

No

Are you willing to undergo a background check as required for employment? *

Yes

No

This position requires driving, and our insurance provider only covers employees who are 21 or older. Do you meet this requirement? *

Yes

No

What is your caregiving experience level? *

No caregiving experience, but I am excited to start a new career as a caregiver.

I have experience as a family caregiver and want to help others.

I am a Caregiver, HHA, or CNA with 1+ year of professional experience.

Do you currently have any of the following certifications? (Select all that apply) *

What shifts are you available for? (Select all that apply) *

Weekdays (Day Shift)

Weekends (Day Shift)

Overnights

How many hours per week are you looking to work? *

Part-time (0-12 hours)

Part-time (12-20 hours)

Part-time (20-30 hours)

Full-time (30+ hours)

Are you open to working short-notice or on-call shifts if needed? *

Yes

No

Do you have a current and valid Florida Driver’s License? *

Yes

No

Do you have valid auto insurance that meets Florida’s minimum liability requirements? *

Yes

No

Can you reliably drive your own vehicle to and from shifts? *

Yes, I have a reliable car.

No, I rely on others, buses, or rideshare services (Uber/Lyft).

Are you able to assist clients with transfers, mobility, or lifting up to 25 lbs? *

Yes

No

Are you comfortable working with clients who have memory loss, limited mobility, or require total care? *

Yes

No

Were you referred by someone? If so, please provide their name.

Is there anything else you’d like us to know about you?

Opt-In *

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Priority Application

🎉Congrats! You've been invited to complete our priority application!🎉