premierseniorcareonline

Premier Senior Care is always looking for experienced and qualified caregivers to provide compassionate care and support to our clients. If you wish to inquire about caregiving opportunities, please complete the form below

Personal Information

First Name:

Last Name:

Address

City:

State:

Zip Code:

County:

Email

Phone Number:

Alternative Number:

Experience:

Do you have experience working with seniors?

Yes No

If your answer to the above question was yes, please provide examples of your experience working with seniors.

How many years of experience have you had as a caregiver working for an agency or facility?

Please do not include non-paid or volunteer work for friends and family members.

Please mark the boxes for types of senior care experience you have had (Please check all that apply):

Agency Facility Volunteer Work School Internship Hospital IHSS (In-Home Supportive Services) Private Care (Non-paid for Family or Friends Private Care (Paid Position)

Do you have experience working as a 24 hour/live-in caregiver?

Yes No

If you answere yes to the last question, please provide examples of your experience working as a 24 hour/live-in caregiver

Licenses & Certifications

Please check the box(es) for any licenses or certifications which you hold or have held:

RN (Registered Nurse) LVN (Licensed Vocational Nurse) CNA (Certified Nursing Assistant) IHSS Certified (In-Home Supportive Services) Other (Medical Assistant, technician, pharmacy, etc.) CPR (Cardiopulmonary Resuscitation) First Aid Certificate Home Health Aide

Availability

I am looking for:

Hourly Live-In/24 Hour Care

Please select

What days are you available?

Please select

I would like the following shift times:

Please select