{"id":8044,"date":"2023-09-15T12:40:16","date_gmt":"2023-09-15T12:40:16","guid":{"rendered":"https:\/\/homewellcares.com\/base-site\/?page_id=8044"},"modified":"2023-10-03T15:27:03","modified_gmt":"2023-10-03T15:27:03","slug":"caregiver-inquiry","status":"publish","type":"page","link":"https:\/\/homewellcares.com\/base-site\/caregiver-inquiry\/","title":{"rendered":"Caregiver Inquiry"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:0px;--awb-padding-bottom:0px;--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-min-height:525px;--awb-background-color:var(--awb-custom_color_1);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:calc( 1200px + 0px );margin-left: calc(-0px \/ 2 );margin-right: calc(-0px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_2_5 2_5 fusion-flex-column fusion-flex-align-self-center\" style=\"--awb-bg-size:cover;--awb-width-large:40%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-margin-top-small:3rem;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-one\" style=\"--awb-text-color:#ffffff;--awb-margin-top:3rem;--awb-margin-bottom:28px;--awb-margin-bottom-small:28px;--awb-margin-top-medium:50px;--awb-margin-bottom-medium:28px;--awb-font-size:var(--awb-custom_typography_1-font-size);\"><h1 class=\"fusion-title-heading title-heading-left\" style=\"font-family:&quot;Raleway&quot;;font-style:normal;font-weight:700;margin:0;font-size:1em;text-transform:none;line-height:var(--awb-custom_typography_1-line-height);\">Make yourself at HomeWell<\/h1><\/div><div class=\"fusion-text fusion-text-1 fusion-text-no-margin\" style=\"--awb-font-size:20px;--awb-line-height:28px;--awb-letter-spacing:var(--awb-typography4-letter-spacing);--awb-text-transform:var(--awb-typography4-text-transform);--awb-text-color:var(--awb-color1);--awb-margin-bottom:3rem;--awb-text-font-family:var(--awb-typography4-font-family);--awb-text-font-weight:var(--awb-typography4-font-weight);--awb-text-font-style:var(--awb-typography4-font-style);\"><p>You can make a difference in the lives of others with HomeWell Care Services. As industry leaders, we&#8217;re seeking dependable and compassionate individuals who take pride in enhancing the lives of those around them.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_3_5 3_5 fusion-flex-column fusion-flex-align-self-center\" style=\"--awb-padding-left:80px;--awb-padding-right-medium:10px;--awb-padding-bottom-medium:60px;--awb-padding-left-medium:10px;--awb-padding-right-small:0px;--awb-padding-bottom-small:60px;--awb-padding-left-small:0px;--awb-overflow:hidden;--awb-bg-size:cover;--awb-border-radius:15px 15px 15px 15px;--awb-transform:scaleX(1) scaleY(1);--awb-transform-hover:scaleX(1.03) scaleY(1.03);--awb-width-large:60%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column\"><a class=\"awb-lightbox awb-lightbox-1\" href=\"https:\/\/vimeo.com\/861425631?share=copy\" data-rel=\"iLightbox\"><img decoding=\"async\" src=\"https:\/\/homewellcares.com\/base-site\/wp-content\/uploads\/sites\/14\/2023\/07\/Recruitment_Thumbnail-min-2.png\" alt=\"Video\"><\/a><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"location-contact-form\">\n<div class=\"client-form\">\n<div class=\"hw-appcf-wrapper hw-pcf-wrapper\"><div class=\"form-elements hw-form-elements\"><h3 class=\"hw-contact-popup-title\" type=\"button\">Join Our Care Team<\/h3><p>Every member of our team plays a crucial role in furthering our mission and impact in the community. If you are compassionate, dedicated and driven to help others, we invite you to apply and to make yourself at HomeWell.<\/p><div class=\"hw-contact-content-wrapper\"><div id=\"appcf-sticky-success-message\" class=\"alert alert-success\" hidden><\/div><div id=\"appcf-sticky-error-message\" class=\"alert alert-danger\" hidden><\/div><script src=\"https:\/\/www.google.com\/recaptcha\/api.js?render=6LdSB3clAAAAAAZLF14Qd6Rm1QUI0z5utEDin4K1\"><\/script><form method=\"post\" id=\"appcf-popup-contact\" class=\"wpcf7-form init\"><div style=\"display: none;\">\n    <input type=\"hidden\" name=\"_wpcf7\" value=\"11209\">\n    <input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.2\">\n    <input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\">\n    <input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f11209-p8044-o1\">\n    <input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"8044\">\n    <input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\"><\/div><h4 class=\"fusion-clearfix\">Applicant Information<\/h4><input class=\"wpcf7-form-control wpcf7-hidden\" id=\"location_code\" value=\"SITE\" type=\"hidden\" name=\"location_code\"><div class=\"pull-left\"><label for=\"first-name\">First Name *<\/label><input size=\"40\" class=\"\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" required><\/div><div class=\"pull-right\"><label for=\"last-name\">Last Name *<\/label><input size=\"40\" class=\"\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last-name\" required><\/div><div class=\"pull-left\"><label for=\"address\">Address *<\/label><input size=\"40\" class=\"\" autocomplete=\"street-address\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"address\" required><\/div><div class=\"pull-right\"><label for=\"city\">City *<\/label><input size=\"40\" class=\"\" autocomplete=\"address-level2\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city\" required><\/div><div class=\"pull-left\"><label for=\"state\">State *<\/label><input size=\"40\" class=\"\" autocomplete=\"address-level1\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state\" required><\/div><div class=\"pull-right\"><label for=\"zip\">Zip *<\/label><input size=\"40\" class=\"\" autocomplete=\"postal-code\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zip\" required><\/div><div class=\"pull-left\"><label for=\"email-address\">Email Address *<\/label><input size=\"40\" class=\"\" autocomplete=\"email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-address\" required><\/div><div class=\"pull-right\"><label for=\"phone-number\">Phone Number *<\/label><input size=\"40\" class=\"\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"phone-number\" required><\/div><h4 class=\"fusion-clearfix\">Availability<\/h4><div><p>Number of available hours per week:<\/p><span class=\"wpcf7-form-control-wrap\" data-name=\"available-hours\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"available-hours[]\" value=\"Less than 20 hours\"><span class=\"wpcf7-list-item-label\">Less than 20 hours<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"available-hours[]\" value=\"More than 20 hours\"><span class=\"wpcf7-list-item-label\">More than 20 hours<\/span><\/label><\/span><\/span><\/span><\/div><div class=\"pull-left\"><label for=\"mase\">Available Start Date<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"start-date\"><input class=\"\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"start-date\"><\/span><\/div><h4 class=\"fusion-clearfix\">Skills and Experience<\/h4><p>Select all that apply<\/p><p><span class=\"wpcf7-form-control-wrap\" data-name=\"skills\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"skills[]\" value=\"3 in 1 commode experience\"><span class=\"wpcf7-list-item-label\">3 in 1 commode experience<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"skills[]\" value=\"Bedbound experience\"><span class=\"wpcf7-list-item-label\">Bedbound experience<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"skills[]\" value=\"Dementia experience\"><span class=\"wpcf7-list-item-label\">Dementia experience<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"skills[]\" value=\"Hospice experience\"><span class=\"wpcf7-list-item-label\">Hospice experience<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"skills[]\" value=\"Incontinence experience\"><span class=\"wpcf7-list-item-label\">Incontinence experience<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"skills[]\" value=\"Oxygen concentrator experience\"><span class=\"wpcf7-list-item-label\">Oxygen concentrator experience<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"skills[]\" value=\"Portable oxygen experience\"><span class=\"wpcf7-list-item-label\">Portable oxygen experience<\/span><\/label><\/span><\/span><\/span><\/p><h4 class=\"fusion-clearfix\">Transfer experience<\/h4><p>Select all that apply<\/p><p><span class=\"wpcf7-form-control-wrap\" data-name=\"transfer\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"transfer[]\" value=\"Gait belt experience\"><span class=\"wpcf7-list-item-label\">Gait belt experience<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"transfer[]\" value=\"Hoyer lift experience\"><span class=\"wpcf7-list-item-label\">Hoyer lift experience<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"transfer[]\" value=\"No transfer experience\"><span class=\"wpcf7-list-item-label\">No transfer experience<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"transfer[]\" value=\"Walker experience\"><span class=\"wpcf7-list-item-label\">Walker experience<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"transfer[]\" value=\"Wheelchair experience\"><span class=\"wpcf7-list-item-label\">Wheelchair experience<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"transfer[]\" value=\"Max weight for client transfers\"><span class=\"wpcf7-list-item-label\">Max weight for client transfers<\/span><\/label><\/span><span><input class=\"inline-textbox\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"max-weight\" style=\"width:300px;margin: 0 10px 0;\"><\/span><\/span><\/span><\/p><h4 class=\"fusion-clearfix\">Preferences<\/h4><p>Select all that apply<\/p><p><span class=\"wpcf7-form-control-wrap\" data-name=\"preferences\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"preferences[]\" value=\"OK with live-in shifts\"><span class=\"wpcf7-list-item-label\">OK with live-in shifts<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"preferences[]\" value=\"OK with smoking clients\"><span class=\"wpcf7-list-item-label\">OK with smoking clients<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"preferences[]\" value=\"OK with housekeeping\"><span class=\"wpcf7-list-item-label\">OK with housekeeping<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"preferences[]\" value=\"OK with laundry\"><span class=\"wpcf7-list-item-label\">OK with laundry<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"preferences[]\" value=\"OK with meal preparation\"><span class=\"wpcf7-list-item-label\">OK with meal preparation<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"preferences[]\" value=\"OK with cats\"><span class=\"wpcf7-list-item-label\">OK with cats<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"preferences[]\" value=\"OK with dogs\"><span class=\"wpcf7-list-item-label\">OK with dogs<\/span><\/label><\/span><\/span><\/span><\/p><h4 class=\"fusion-clearfix\">Certifications and Credentials<\/h4><p>Select all that apply<\/p><p><span class=\"wpcf7-form-control-wrap\" data-name=\"certifications\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"certifications[]\" value=\"Automobile insurance\"><span class=\"wpcf7-list-item-label\">Automobile insurance<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"certifications[]\" value=\"CNA license\"><span class=\"wpcf7-list-item-label\">CNA license<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"certifications[]\" value=\"CPR certification\"><span class=\"wpcf7-list-item-label\">CPR certification<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"certifications[]\" value=\"Driver's license\"><span class=\"wpcf7-list-item-label\">Driver's license<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"certifications[]\" value=\"First aid certification\"><span class=\"wpcf7-list-item-label\">First aid certification<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"certifications[]\" value=\"Food handler's permit\"><span class=\"wpcf7-list-item-label\">Food handler's permit<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"certifications[]\" value=\"HHA certification\"><span class=\"wpcf7-list-item-label\">HHA certification<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"certifications[]\" value=\"Tuberculosis test\"><span class=\"wpcf7-list-item-label\">Tuberculosis test<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"certifications[]\" value=\"Registered nurse\"><span class=\"wpcf7-list-item-label\">Registered nurse<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"certifications[]\" value=\"State ID card\"><span class=\"wpcf7-list-item-label\">State ID card<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"certifications[]\" value=\"Current flu vaccine\"><span class=\"wpcf7-list-item-label\">Current flu vaccine<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"certifications[]\" value=\"Current COVID vaccine\"><span class=\"wpcf7-list-item-label\">Current COVID vaccine<\/span><\/label><\/span><\/span><\/span><\/p><h4 class=\"fusion-clearfix\">Education<\/h4><p>Select all that apply<\/p><p><span class=\"wpcf7-form-control-wrap\" data-name=\"education\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"education[]\" value=\"High school\"><span class=\"wpcf7-list-item-label\">High school<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"education[]\" value=\"GED\"><span class=\"wpcf7-list-item-label\">GED<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"education[]\" value=\"College\"><span class=\"wpcf7-list-item-label\">College<\/span><\/label><\/span><\/span><\/span><\/p><h4 class=\"fusion-clearfix\">Language Fluency<\/h4><p>Select all that apply<\/p><p><span class=\"wpcf7-form-control-wrap\" data-name=\"language\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"language[]\" value=\"English\"><span class=\"wpcf7-list-item-label\">English<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"language[]\" value=\"Spanish\"><span class=\"wpcf7-list-item-label\">Spanish<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"language[]\" value=\"Other\"><span class=\"wpcf7-list-item-label\">Other<\/span><\/label><\/span><span><input class=\"inline-textbox\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"other\" style=\"width:300px;margin: 0 10px 0;\"><\/span><\/span><\/span><\/p><p><span class=\"wpcf7-form-control-wrap\" data-name=\"disclaimer\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" aria-required=\"true\" name=\"disclaimer[]\" required value=\"I certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusing to hire me, or for termination should I be hired. In consideration for my employment, I agree to abide by the rules and regulations of the company, which rules may be changed, withdrawn, added or interpreted at any time, at the company's sole option and without prior notice to me. I also acknowledge that my employment may be terminated, or any offer of acceptance of employment withdrawn, at any time, with or without cause, and with or without prior notice at the option of the company or myself.\"><span class=\"wpcf7-list-item-label\">I certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusing to hire me, or for termination should I be hired. 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