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Apply for Caregiver

Hello and thank you for your interest in Home Instead. Please fill out the application below and click the Submit button when finished. Fields with an asterisk (*) are required.

Please note that this is the job board for the franchise office located at 117 Indian Point Rd Stonington, ME 04681. Each Home Instead franchise is independently owned and operated. To find a franchise near you, please visit the Careers page.

For job related questions please call the franchise office at 207-404-2529.

Summary
Title:Caregiver
ID:1151 - General Keep
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Application Information
* Requested Hours:
How many hours would you prefer to work weekly?
Opt-In Confirmation
The application is powered by ApplicantStack on behalf of CAS Services, Inc dba Home Instead. By submitting this application, I consent to receive SMS updates from CAS Services, Inc dba Home Instead at (866) 303-9135 regarding my employment application. SMS Messages will only be sent by CAS Services, Inc dba Home Instead exclusively for hiring-related communications. Your mobile information will not be shared with third parties or affiliates for marketing or promotional purposes. Message frequency varies. Message and data rates may apply. Reply HELP for help or STOP to opt out.
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Cover Letter:
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Additional Information
* How did you hear about Home Instead?
If applicable, please specify:
Applicant Note & Certification
Please be sure to scroll down and answer the application questions!
APPLICANT NOTE
CAS Services is an independently owned and operated Home Instead® franchise 442 Pleasant St, Blue Hill, ME 04614 207-404-2529.

This application will be valid for 60 days. If you need further assistance for any phase of the employment process, please notify the person who gave you this form and every reasonable effort will be made to meet your needs in a reasonable amount of time.

This application that you have completed online is intended for use in evaluating your qualifications for employment with us, an independently owned and operated Home Instead franchise. This is not an employment contract. Please be sure that you answered all appropriate questions completely and accurately. False or misleading statements during the interview and on your application materials are grounds for terminating the application process or, if discovered after employment begins, terminating employment. All qualified applicants will receive consideration and will be treated throughout their employment without regard to race, color, religion, sex, national origin, age, disability, or any other protected class status under applicable law.

CERTIFICATION
I certify that I have read and understand the applicant note above and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts in this application process may result in rejection of my application or discharge at any time during my employment. I authorize the company and/or its agents, including consumer-reporting bureaus, to verify any of this information including, but not limited to, criminal history and motor vehicle driving records. I also understand that the use of illegal drugs is prohibited when carrying out my job responsibilities. I am willing to submit to drug screening if requested to detect the use of illegal drugs prior to and during employment, as allowed under applicable law.

I understand that this application is not a contract for employment.

By typing your name below you are electronically signing this document.

* Signature (type full name):
* Date:
Initial Application Questions 4-1-24
* Are you authorized to work in the US
I am a US Citizen I have my Green Card I have a work visa I am not currently authorized to work in the US
* Do you have a current driver's license, reliable car and car insurance?
Yes
No
* Are you over 19
Yes
No
* Which best describes you?
I have no caregiving experience but I am excited about starting a new career as a caregiver!
I am a family caregiver who would like to help others
I am Caregiver, PSS or CNA with at least 1 year experience
Interview Questions and Evaluation

Must Answer

* What is your overall evaluation?  Concerns?  Are they a good match for a specific client?
* Current Driver's License, Insurance, Over 19
Yes
No
* Does the applicant have relliable transportation?
Yes
No
Shared transportation
* Are there gaps in employment in the past 3 years?  If so, why?
* Why Are You Looking?
Why are you leaving—or considering leaving—your current/most recent position?
* Is the applicant still working?
Yes
No
* When will applicant be available for work?
* Does the candidate have:
PSS
Active CNA
Expired CNA
Neither certification
Are you able to provide more availability than the number of hours you would like to work?
Yes
No
* Availability including weekends
* Experience with:
☐ Personal care/ADLs
☐ Toileting/Incontinence
☐ Bathing/Showering
☐ Transfers
☐ Dementia/Alzheimer's
☐ Mobility assistance
☐ Hoyer lift
☐ Meal preparation
☐ Medication reminders
☐ Hospice/End-of-life clients
☐ Other: ______________________
Evaluator: ☐ Strong ☐ Acceptable ☐ Limited ☐ Concern

Nice to Know

Tell me about you caregiving experience.  Professional or Family?
Are you comfortable providing hands-on personal care, including bathing, toileting, incontinence care, dressing, and changing briefs?

Any restrictions?
Yes
No
Do you sense:  patience, redirection, calm communication, empathy, safety awareness.
Strong
Acceptable
Needs Training
Concern
Reliability
Our clients depend on caregivers arriving as scheduled. Tell me about your attendance and reliability at previous jobs. What would cause you to call out of a scheduled shift?
Caregiving sometimes involves clients who are confused, frustrated, demanding, resistant to care, or having a difficult day. How do you handle those situations?
Suppose a client offers you money, an expensive gift, or asks you to do something outside the care plan. What would you do?
You arrive at a client's home and notice the client seems significantly different than usual—confused, weak, having difficulty breathing, or possibly injured. What would you do?
What do you enjoy most about working with older adults?
Tell me about a time a supervisor corrected or coached you about something. How did you respond?
In your opinion, what separates an excellent caregiver from an average caregiver?
What are your best qualities, hobbie and likes/dislikes?

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