Application Home Care Job Application Name* First Last PhoneEmail* Enter Email Confirm Email Location* City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Thank you for your interest in working with us at Community Support Solutions. We see that your address is not in Washington all our jobs are In Homes throughout Washington State. We do not have any remote jobs available. If you are planning on moving here please check the box below stating that so you can move forward in applying. Thank you I will be relocating to Washington State*Please check yes if you do have an address other than Washington but I have recently moved or are in the process of moving soon to Washington State. No Yes Where do you want to work?*Please Choose a County or Counties you are interested in working in.Please Choose a county or countiesWhatcomSnohomishIslandSkagitKingPlease check all that apply* I am over 18 years old I have a High School diploma or equivalent I do not have a Criminal background Days available for workPlease choose the days you are available to work Sunday Monday Tuesday Wednesday Thursday Friday Saturday SundayWhat is your specific availability Sunday's? MondayWhat is your specific availability Monday's? TuesdayWhat is your specific availability Tuesday? WednessdayWhat is your specific availability Wednesday's? ThursdayWhat is your specific availability for Thursday's? FridayWhat is your specific availability Friday's? SaturdaysWhat is your specific availability Saturdays? What kind of Certification do you have? Or Need?* HCA CNA LPN or RN Special Education Endorsement I would like to apply to receive my HCA Certification Great ! Please make sure you have doubled checked that the new regulations for exempt employees still work in your favor. Which long-term care workers do not have to be certified as home care aides?. Great ! We have an excellent program for those who qualify and have a desire to receive their HCA Certificate. There are minimum requirements to qualify as you can see on this application. If you would like to go further in this process, please check that you understand the qualifications. To Qualify for the HCA Certification Program workers must:Please check stating you understand and feel you have the qualifications for the HCA Certification Program Have a open schedule - flexible for clients needs Able and willing to work 5 days a week and a min of 20 hrs Be willing and able to do 75 hours of online training Have a clean criminal history Have experience and heart to care for others Have transportation Understanding Qualifications I Understand the Qualifications of the HCA Cert. Program Have you had any certifications or trainings in the past?Please check all that apply to you. CNA Certification or Training NAR Certification HCA Certification or Training Fundamentals of Caregiving Training Med Tech Other Other?What other Certificates or training's have you had, please describe.ExperiencePlease check all that applyChild CareCNA, HCA or NARVolunteerSpecial Needs CareSchoolPersonal Care Family / FriendsChurch/ OutreachTherapy or Dr OfficeOtherExperience Description. Thank you for taking the first step to applying to Our HCA Certification Program. We will be reviewing your application and letting you know what the next step will be. Find out more about Community Support Solutions HCA Certificate Program and the steps to achieving your HCA Certification. Δ
