Thank you for your interest in working for our agency.

Please submit the application below to be considered for a position as a caregiver.

Applicant Information:
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Match Criteria:
Indicate caregiver's skills and limitations. These will be used for matching the caregiver with clients.

General

Transfers

Pets

Education & Training:
Certifications and Credentials:
Please check all that apply, and enter the expiration date and any notes as applicable.
Active Type Expiration Date Notes
Car Insurance
COVID-19 Vaccine
Driver's License
Tuberculosis Test

+ Add Additional Certification or Credential

Employment History:
Please provide your most recent positions of employment.

+ Add Additional Employer

Professional References:
Please provide professional references.

+ Add Additional Reference

Additional Information:
Disclaimer:
Applicant Acknowledgement: Clarity Care Givers, LLC is an equal opportunity employer. We will not discriminate in employment, recruitment, promotion, compensation, termination or other conditions of employment against any employee or job applicant on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status or for any other discriminatory reason. If hired, I understand Indiana is an "At Will" State and either the company or I can terminate my employment at any time, for any reason, with or without cause and without prior notice. I certify the facts set forth in this application are true and complete. I authorize Clarity Care Givers, LLC to contact any references or other relevant sources that may be able to attest to my character. I release the company from any and all liability that could result from obtaining and having an employment decision based on such information. I understand Clarity Care Givers, LLC is a drug free workplace. I agree to submit to a pre-employment drug/alcohol screening as well as periodic random drug/alcohol screenings during employment.I release the company from liability that may arise from making an employment decision based on drug or alcohol test results. I attest with my signature below I authorize the company to contact references provided for employment purposes. I also understand as a condition of my consideration for employment or as a condition of my continued employment they may obtain a consumer report including but not limited to, my creditworthiness, employment verifications, education verification, social security verification, criminal and civil history, any other public records bearing on my character. I authorize and consent to Clarity Care Givers LLC procurement of such a report. I understand pursuant to the federal Fair Credit Reporting Act, Clarity Care Givers, LLC will provide me a copy of such report if the information contained in such report is, in any way, used in deciding employment eligibility. I further understand such a report will be made available to me, along with the name and address of the reporting agency that produced the report.
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