Direct Care Worker Application Follow-Up

We have just a few more questions for you to answer. Please fill out the information below.

"*" indicates required fields

Are you interested in*
Do you have a driver's license and a clean driving record for at least the past three (3) years?*
Do you speak English?*
Are you authorized to work in the following country: United States?*
Are you willing to undergo a background check, in accordance with local law/regulations?*

Please Rate Yourself On the Following

1 = Needs Work • 2 = Below Average • 3 = Average • 4 = Above Average • 5 = Excellent
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