Current Employment Opportunities

If you have a passion for taking care of people in their own homes, please apply.  We only hire caring & compassionate people for our in home healthcare.

CNAs/HSW – Part-time, working in the Galena and Savanna areas

Flexible hours,  competitive wages, and positive work environment.  Experience in home healthcare a plus.

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PERSONAL
First Name Last Name
Address City State Zip
Home Phone Cell Phone Email

Employment Data
Position applying for
RNLPNCNAPersonal Care WorkerPhysical TherapistOccupational TherapistOffice Staff

Do you want Full-time or Part-time? Full-timePart-timePRN

Shift you can work: DayEveningNightAny

Are you over 16? YesNo

If "no", please give birth date: (A work permit is required.)

Please list your qualifications for the position for which you are applying:

Date Available to work: Desired salary:

EMPLOYMENT
Present Employer Work Phone #
Address City State Zip
Dates employed? Monthly Income Position Supervisor
Previous Employer Work Phone #
Address City State Zip
Dates employed? Monthly Income Position Supervisor
Previous Employer Work Phone #
Address City State Zip
Dates employed? Monthly Income Position Supervisor
May we contact your present/former employer(s) at this time? YesNo
Resume attached? YesNo

EDUCATION
Grade 
Post Graduate YesNo
Name and location of last school you attended:

Have you had vocational, technical or trade training? YesNo
If yes, please list what type:

Degree(s) Institution Year Major/Minor
Degree(s) Institution Year Major/Minor
Degree(s) Institution Year Major/Minor

Post Graduate Courses:

Academic Accomplishments/Experiences:

REFERENCES
Non-Relative Relationship Phone Number
Non-Relative Relationship Phone Number
Non-Relative Relationship Phone Number
Emergency Contact Contact #
Are you a citizen of the US? YesNo
Have you ever been convicted a felony? YesNo
Have you ever worked for this company? YesNo

Your Name (required)

Your Email (required)

Additional Comments

I understand that any employment with the 24 Hour Care, HHA will be on a three-month provisional basis. If employed, I agree to follow the rules and regulations of the Employee Handbook or any that may be made by my department supervisor or human resource director.

Caregivers: Please note that this job requires working every other weekend and every other holiday.

The above information is complete and true to the best of my knowledge. I understand that if employed, false statements on this application shall be considered sufficient cause for dismissal.

I authorize the department supervisor and/or human resource director of the 24 Hour Care, HHA to contact any and/of all of my references for full information.

I certify this information is accurate and complete. YesNo

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