We are Looking for Passionate Caregivers!

JOB APPLICATION

Community Angels Nursing Services is a Maryland-based home-health professional company. FIll the form below to apply for a position with Community Angels.

Apply for Care Giver with Community Angels

If you are interested in joining our pool of care providers, please fill out the form below to apply for a position with Community Angels.

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, disability, medical condition, national origin, or marital status.

    The Asterisk sign connotes required fields.


    PERSONAL INFORMATION

    FIRST NAME

    LAST NAME

    HOME PHONE

    MOBILE PHONE

    YOUR EMAIL

    ADDRESS

    ADDRESS CONTD

    CITY

    DRIVER’S LICENSE NUMBER

    DRIVER’S LICENSE STATE


    UPLOAD RESUME


    PERSONAL QUALIFICATIONS

    Where applicable, please provide your professional license numbers

    YOUR CNA LICENSE NUMBER

    YOUR GNA LICENSE NUMBER

    YOUR RN LICENSE NUMBER

    YOUR LPN LICENSE NUMBER


    GENERAL INFORMATION

    DATE AVAILABLE

    JOB TYPE

    CAN YOU PROVIDE DOCUMENTATION OF A DRIVER’S LICENSE AND AUTO INSURANCE?

    DRIVER LICENSE EXPIRATION DATE:

    AUTO INSURANCE EXPIRATION DATE:

    HAVE YOU EVER BEEN CONVICTED OF, OR PLEAD GUILTY OR NO CONTEST TO, A MISDEMEANOR OR FELONY IN THIS STATE OR ANY OTHER?

    IF YES, EXPLAIN


    EMPLOYMENT VERIFICATION

    ARE YOU A U.S. CITIZEN?

    IF YOU ARE NOT A U.S. CITIZEN, PLEASE INDICATE VISA TYPE AND NUMBER

    ARE YOU AUTHORIZED TO WORK IN THE U.S.?


    EDUCATION

    NAME OF HIGH SCHOOL

    LOCATION OF HIGH SCHOOL:

    DID YOU GRADUATE?

    YEARS ATTENDED (FROM/TO):

    ADDITIONAL EDUCATION (VOCATIONAL, UNDERGRADUATE, ETC.)

    IF YES, PLEASE LIST THE NAME OF THE SCHOOL AND YEARS ATTENDED (FROM/TO)


    OTHER TRAINING: CERTIFICATIONS/LICENSES

    CERTIFICATIONS/LICENSES:


    CURRENT EMPLOYMENT

    CURRENT EMPLOYER:

    ADDRESS

    CITY

    STATE

    ZIP CODE

    START DATE

    END DATE

    HOURS WORKED

    POSITION/TITLE

    DESCRIBE YOUR RESPONSIBILITIES

    SUPERVISOR’S NAME/TITLE:

    SUPERVISOR’S PHONE:

    REASON FOR LEAVING

    MAY WE CONTACT?


    EMPLOYMENT HISTORY

    LAST EMPLOYER:

    ADDRESS

    CITY

    STATE

    ZIP CODE

    START DATE

    END DATE

    HOURS WORKED

    POSITION/TITLE

    DESCRIBE YOUR RESPONSIBILITIES

    SUPERVISOR’S NAME/TITLE:

    SUPERVISOR’S PHONE:

    REASON FOR LEAVING

    MAY WE CONTACT?


    REFERENCE 1

    NAME

    COMPANY

    PHONE


    REFERENCE 2

    NAME

    COMPANY

    PHONE


    EMERGENCY CONTACT INFORMATION

    FIRST NAME

    LAST NAME

    ADDRESS:

    CITY

    STATE

    ZIP CODE

    PHONE 1

    PHONE 2

    RELATIONSHIP:





    About Us


    Community Angels Nursing Service is a Maryland licensed provider of Residential Home Care services including Skilled Nursing Services, Home Health Aide Services, Companion Services and Specialty Programs.

    We offers very flexible scheduling and the most cost-effective options to meet your care needs. Services covered could be 24/7 live-in, hourly, nightly, week days or on weekends. We accept Medicaid, private pay and most private insurances.




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