Application for Employment

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Address
Are you authorized to work in the USA and is 18yrs or older
Have you ever been convicted of a crime
Have you ever been terminated from a job because you were accused of child or client abuse, neglect or mistreatment, or because an employer or anyone else found you had committed such an offense
Are you a USA citizen?
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Have you ever had any professional or occupational license or certification suspended or canceled
Do you have a valid NC Driver's License
Has it ever been suspended for any reason
Do you have your own car
Do you have up to date insurance
Have you had a TB test done, within the last year
Please list your references (other than relatives)
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Position
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Quick Inquiry

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Schedule Consultation

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10% OFF
Your First Month of Care
  • FREE in-home assessment
  • No cost, no obligation
  • Compassionate, vetted caregivers
Trusted care across North & South Carolina
Wait — before you go
Save 10% on Your First Month of Care
New clients get 10% off the first month of in-home care — plus a FREE in-home assessment to build the right care plan for your loved one.
🔥 Limited to the first 20 new clients
Only 20 spots
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or call now & mention this offer
Raleigh · Greensboro · Beaufort | A-1 Omega Healthcare Services Inc