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Home Companions Senior Care
Employee Candidate Application

This document is not an employment agreement. Its purpose is to assist the applicant to submit
general information to be considered for a position which the applicant may be qualified.
The information on this form is confidential and protected by a security data file that will prevent
identity theft. The data is sent directly to our administration office to ensure protection.

Currently we have As Needed C.N.A./HHA positions available. This is a great way to get established
in your career with Home Companions Senior Care while working in your current health care field.
We would enjoy meeting you and discussing a career with Home Companions Senior Care.

I understand before I can be considered for a position with
Home Companions Senior Care I must meet the following
requirements:

Digital Finger Printing

Current CPR Card

Valid Florida Drivers License

Valid Florida Auto Insurance

Valid Auto Tag/Registration

Proof of Alzheimer's and Related Dementia training

Proof of Assistance with Self-Administered Medication

Proof of HIV/Aids training

C.N.A. Certification

Valid C.N.A. License

Proof of Home Health Training