• 205-855-7700

CAREGIVER APPLICATION

Caregiver Application
First Name
Last Name
Is this a mobile number that can receive texts?
Do you give SteadyCare One permission to text you about your application and scheduling?
How far are you willing to travel for a shift?
Do you have a valid driver's license and reliable transportation?
Do you have a current CPR and First Aid certification?
If you currently don't have a current CPR and/or First Aid certification can you obtain one within 14 days of hire?
How many hours per week do you want to work?
Availability for Work
Morning (6am-12pm)
Afternoon (12pm-6pm)
Evening (6pm-10pm)
Overnight (10pm-6am)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Can you work weekends sometimes?
Can you work overnight shifts?
Can you commit to a consistent schedule for at least 60 days?
Can you pass a criminal background check?
Please indicate the type of care experience you have:
How many years of paid care giving experience do you have?
Are you legally authorized to work in this country?
Are you willing to work as a W2 employee (not cash/1099)?
Where did you learn about this job?

Maximum file size: 516MB

Can we send you text messages?
Can we send you emails?

Reach Out For Relaible Support

Whether you need immediate overnight coverage, a consistent companion for a loved one, or simply a reliable backup for your family, we are ready to step in. Contact us to discuss how SteadyCare One can provide the presence and peace of mind you need, without the pressure of long-term contracts.

Dependable Care When It Matters Most.

205-855-7700

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