2950 Express Dr. South, Suite 100, Islandia, NY 11749
Caregiver hugging a smiling senior client

Caregiver Application

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1Your Information
2Are you a: (check all that apply)
3Available: (check all that apply)
4Education
High School
College
Trade School
Professional School
5Background

Have you ever been convicted of or plead guilty or no contest to a crime other than a minor traffic violation?

Do you have any relatives or friends that are currently or have been employed by Ideal Home Care?

6Driving Information

Do you have a valid driver’s license?

Do you have access to a car? (Required)

7Work Experience
Employer 1
Employer 2