Join our team at Senior Alternatives, caregivers, care managers, hiring form

Join our homecare team!

Senior Alternatives is currently hiring compassionate, caring and dependable, caregivers who are interested in making a difference in our client’s lives.

Please call Senior Alternatives at (510) 482-3379 to apply or use the form below.

Senior Alternatives is an equal opportunity employer. Applicants are considered for positions without regard to race, color, age, sex, religion, disability, medical condition, veteran status, national origin, marital status or any other category protected by applicable federal, state and local laws.

Personal Information

First name

Last name

Address

City

State

Zip Code

Phone number

Alternative number (including area code)

Best time to call

Emergency Contact

SECTION 5 - Education

Name of High School

Location of High School

Did you graduate?

YesNon/a

Additional Education (vocational, undergraduate, etc.)

SECTION 7 - Background Check

Please list all names you have used

Social Security Number

Drivers License State and Number

Other cities you have lived in over the last 7 years

Have you ever been convicted of, or plead guilty or no contest to a misdemeanor or felony in this state or any other?

YesNon/a

SECTION 8 - Employment History

1. Employment History (Most recent first):

Company

From/To

Job Title

Reason Left

Describe your responsibilities

Supervisor's Name/Title

Supervisor's Phone

2. Employment History

Company

From/To

Job Title

Reason Left

Describe your responsibilities

Supervisor's Name/Title

Supervisor's Phone

Company

From/To

Job Title

Reason Left

Describe your responsibilities

Supervisor's Name/Title

Supervisor's Phone

SECTION 9 - Professional Business References

1. Business Reference

Name

Relationship/Years Known

Phone Number

2. Business Reference

Name

Relationship/Years Known

Phone Number

3. Business Reference

Name

Relationship/Years Known

Phone Number

SECTION 10 - Authorization and Verification

I hereby certify that I have not knowingly withheld any information that might adversely affect my changes for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application.

Agree

I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

Agree

I authorize Senior Alternatives to investigate my references, work record, education and other matters related to my suitability for employment and further, authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure.

Agree

I hereby release Senior Alternatives, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

Agree

I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and Senior Alternatives. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the company's designated representative.

Agree

Should a search of public records (including records documenting an arrest, indictment, conviction, civil judicial action, tax lien or outstanding judgement) be conducted by Senior Alternatives, I am entitled to copies of any such public records obtained by the company unless I select no below. If I am not hired as a result of such information, I am entitled to a copy of any such records.

Agree

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Senior Alternatives

Care Management and Home Care Services

Join our homecare team!

Personal Information

SECTION 1 - General Information

SECTION 2 - Experience

SECTION 3 - Abilities and Skills

SECTION 4 - Availability

SECTION 5 - Education

SECTION 6 - Training: Certifications/Licenses
(no special certifications required)

SECTION 7 - Background Check

SECTION 8 - Employment History

SECTION 9 - Professional Business References

SECTION 10 - Authorization and Verification

Join our homecare team!

Personal Information

SECTION 1 - General Information

SECTION 2 - Experience

SECTION 3 - Abilities and Skills

SECTION 4 - Availability

SECTION 5 - Education

SECTION 6 - Training: Certifications/Licenses (no special certifications required)

SECTION 7 - Background Check

SECTION 8 - Employment History

SECTION 9 - Professional Business References

SECTION 10 - Authorization and Verification

SECTION 6 - Training: Certifications/Licenses
(no special certifications required)