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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