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Administering Medication
Senior Living
Companionship
Doctor’s Appointments
Meal Preparation
Around-the-clock care service
Open Heaven is a 24-hour Agency
Private Sitting
Provide 5 to 12 hours & more care
Shopping for patients
Transportation
We meet the family's needs
Need to take a break or Vacation
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Grooming and assisting with daily living activities
After-hospital stay & surgery care
20 Hours or More Respect Care
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Goodwater, AL
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Clay County
Childersburg, AL
Calhoun County
Birmingham, AL
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0121 7091000
Employment
Open Heaven is a elderly care service that provides assistance to families that desire help with ill and immobile family members.
Come Work with Us
This is your Job Application section paragraph. Encourage your site visitors to apply for any of the available positions at your company.
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Country
Email
*
Date Available
*
MM slash DD slash YYYY
Emergency Contact
Name
*
Phone
*
Name
Phone
Name
Phone
Valid Driver's License #
*
State Issued
*
Exp. Date
*
MM slash DD slash YYYY
Make & Model Of Vehicle
*
Year Of Vehicle
*
Auto in Co
*
Policy #
*
Exp. Date
*
MM slash DD slash YYYY
Valid Driver's License #
State Issued
Exp. Date
MM slash DD slash YYYY
Make & Model Of Vehicle
Year Of Vehicle
Auto in Co
Policy #
Exp. Date
MM slash DD slash YYYY
In order to be able to provide transportation or run errands, you will be required to have a valid driver’s license and current auto insurance. A motor vehicle record check will be conducted and proof of insurance will be required.
Have you ever submitted an application here before?
*
Yes
No
Have you ever been employed here before?
*
Yes
No
when?
when?
How did you hear about Open Heaven Elderly Care LLC?
Are you willing to provide service to a client with a pet?
*
Yes
No
which ones?
*
Cats
Dogs
Are you willing to provide service to a client that smokes?
*
Yes
No
Please indicate the types of services which you are willing to provide
*
Companionship
Housekeeping (Dust/Vacuum)
Errands/Shopping/ Tran portationt
Meal Preparation
Laundry/ lroning
Personal Car
Activities (Games/Crafts)
Medication Reminders
Dementia/Alzheimer’s Car
Position(s) applied for
*
Caregiver
HCA
PSW
Nursing
Admin
Other
Other
*
Type of employment desired
*
Full Time
Part Time
Casual/Occasional
Contract
Driver’s License & Reliable Transportation
*
Yes
No First Aid/CPR
Yes
No
Update
Availability
*
Morning
Afternoons
Midnights
Weekends
Sleepover(12)
Sleepover weekends
Companionship
Due to the nature of the business, no guarantee can be made as to the schedule or the amount of hours worked.
What date are you available to begin work?
*
MM slash DD slash YYYY
Please indicate the days of the week as well as the earliest and latest times that you are available for work.
Monday
Shift From
Hours
:
Minutes
AM
PM
AM/PM
Shift To
Hours
:
Minutes
AM
PM
AM/PM
Tuesday
Shift From
Hours
:
Minutes
AM
PM
AM/PM
Shift To
Hours
:
Minutes
AM
PM
AM/PM
Wednesday
Shift From
Hours
:
Minutes
AM
PM
AM/PM
Shift To
Hours
:
Minutes
AM
PM
AM/PM
Thursday
Shift From
Hours
:
Minutes
AM
PM
AM/PM
Shift To
Hours
:
Minutes
AM
PM
AM/PM
Friday
Shift From
Hours
:
Minutes
AM
PM
AM/PM
Shift To
Hours
:
Minutes
AM
PM
AM/PM
Saturday
Shift From
Hours
:
Minutes
AM
PM
AM/PM
Shift To
Hours
:
Minutes
AM
PM
AM/PM
Sunday
Shift From
Hours
:
Minutes
AM
PM
AM/PM
Shift To
Hours
:
Minutes
AM
PM
AM/PM
Can you tell me how many days per week and/or hours per day you are looking for?
*
Are there any restrictions in the number of hours, days per week, or special consideration in scheduling?
*
Does the position described above with its requirements sound like something you are still interested in?
*
We all have strengths and areas of opportunity for improvement. What would you say yours are?
Strengths
*
Opportunities
*
What efforts have you made in the past 12 months to address or improve your skills?
*
What plans do you have in the next 12 months?
*
We all make mistakes. Tell me about a time when you made a mistake. How did you handle it?
*
Tell me about your biggest challenge at work. What was it and how did you overcome it?
*
Tell me about a time when you saw an opportunity and took steps to take advantage of it?
*
Tell me about your relationship with your last supervisor? What would you say his/her strengths were? What were the weaknesses?
*
What would he/she say yours were?
*
What do you hope to realize/gain from this position if you are successful?
*
We all have hot buttons. What would you say yours are and how do you respond?
*
Describe a situation where you had a serious difference of opinion with another co-worker or supervisor. How did you handle it and what was the final outcome?
*
Describe a time when you were asked to do something that was against your company policy or rules. How did or would you handle it?
*
Under what circumstances would you say it is acceptable to break the confidence of another co-worker or customer?
*
Why do you feel you are the right person for this position? What do you think you would bring to the team?
*
How important is “balance” in your life? What would you say your current level of satisfaction with balance is?
*
How would you respond if a client were verbally and physically aggressive towards you?
*
A client refuses to comply with care for example won’t take a bath or take medications. How would you deal with this?
*
Have you been given a copy of the job description for the position for which you have applied to review?
*
Yes
No
Are you able to perform the essential functions of the job for which you are applying with or without a reasonable accommodation?
*
Yes
No
Why are you interested in employment with us?
*
Why are you interested in employment with us?
*
Related Skills
What personal rewards do you get from working with 9 seniors Describe any training or life skills you have that apply to caring for a senior:
*
Describe any work history you have that would apply to caring for a senior:
*
What do you like (or think you would like) most about working with older adults?
*
What do you like (or think you would like) least about working with older adults?
*
Preferences
Please indicate all areas of the city in which you are willing to work and how far you are willing to drive: More City will come
*
Talladega County & City
Calhoun County
Sylacauga
Cleburne County
Clay County
Etowah County
Shelby County
St Clair County
Tallapoosa County
GoodWater
Childersburg
Gadsden
Birmingham
Education
Please circle highest grade completed:
Middle school:
*
6
7
8
High school:
*
9
10
11
12
College:
*
13
14
15
16
16+
School Type
High School
School name
City, State
Major / Subject
# Years Attended
Graduate
Yes
No
Vocational / Technical
School name
City, State
Major / Subject
# Years Attended
Graduate
Yes
No
College / University
School name
City, State
Major / Subject
# Years Attended
Graduate
Yes
No
**For employment our minimum education requirement is either a GED or High School diploma
Work History
Your application will not be considered unless all questions in this section are answered. Since we will make every effort to contact previous employers, the correct telephone numbers of past employers are essential.
Most Recent Employer
Are you currently working for this employer?
Yes
No
If yes, may we contact?
Yes
No
City
State
Company Name
Phone
Date Employed From:
MM slash DD slash YYYY
Date Employed To:
MM slash DD slash YYYY
Job Title
Supervisor’s Name
Duties
$ Salary
Per
Hour
Week
Month
Reasons For Leaving
Second Most Recent Employer
City
State
Company Name
Phone
Date Employed From:
MM slash DD slash YYYY
Date Employed To:
MM slash DD slash YYYY
Job Title
Supervisor’s Name
Duties
$ Salary
Per
Hour
Week
Month
Reasons For Leaving
Security
If considered for hiring, will you agree to provide a criminal background check , Drug test?
*
Yes
No
As a condition of employment all employees must be “Bondable” & “Insurable”. Are you at least 17 years of age?
*
Yes
No
List states and counties of residence for the past seven years:
Have you had any moving traffic violations?
*
Yes
No
If yes, please describe:
*
Have you been charged/convicted of a felony and/or misdemeanor/ or served time?
*
Yes
No
If yes, please describe:
*
Have you ever been a charged perpetrator or appeared on any child abuse registry in the last 5 years?
*
Yes
No
References (Do not include relatives)
Your application will not be considered unless 4 references are provided. Since we will contact these references, please notify them in advance. If we are unable to reach all 3 references, you will be asked to provide additional references.
First Reference
Full Name
Phone
Best Time To Call
Hours
:
Minutes
AM
PM
AM/PM
Relationship
No.of Years Known
Second Reference
Full Name
Phone
Best Time To Call
Hours
:
Minutes
AM
PM
AM/PM
Relationship
No.of Years Known
Third Reference
Full Name
Phone
Best Time To Call
Hours
:
Minutes
AM
PM
AM/PM
Relationship
No.of Years Known
I certify that all the information I have provided is true, complete and correct. The information contained within this application or any cover letter or resume attached is not shared with any third parties. The information is used by the employer only as an aid in the hiring decision making process. The applicant, by signing the application gives the employer consent to collect the information Incident City/State Charge contained herein and use for the purpose specified. I authorize this Open Heaven Elderly Care to investigate all statements contained on this application. I understand that any misinterpretation or omission of facts called for is cause for immediate disqualification and/or if employed, immediate dismissal. I understand that if I am hired, I will be required to provide a criminal background check, Drug test at my cost will get money back after 2 months of work , proof of identity and legal authority to work in Alabama , proof of certifications or educational qualifications, and a drivers abstract (if applicable). Furthermore, I understand and agree that if I am employed, I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same rights to terminate my employment at any time, with or without prior notice, except as may be required by law. This application does not in any way constitute an agreement or contract for employment.
*
I certify that all the information I have provided is true, complete and correct. The information contained within this application or any cover letter or resume attached is not shared with any third parties. The information is used by the employer only as an aid in the hiring decision making process. The applicant, by signing the application gives the employer consent to collect the information Incident City/State Charge contained herein and use for the purpose specified. I authorize this Open Heaven Elderly Care to investigate all statements contained on this application. I understand that any misinterpretation or omission of facts called for is cause for immediate disqualification and/or if employed, immediate dismissal. I understand that if I am hired, I will be required to provide a criminal background check, Drug test at my cost will get money back after 2 months of work , proof of identity and legal authority to work in Alabama , proof of certifications or educational qualifications, and a drivers abstract (if applicable). Furthermore, I understand and agree that if I am employed, I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same rights to terminate my employment at any time, with or without prior notice, except as may be required by law. This application does not in any way constitute an agreement or contract for employment.
Email
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