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Careers

Join a team that's about service, kindness, and respect

Are you interested in working with us? Please submit the easy, online application below.

If you are the type of healthcare professional who takes pride in a job well done, our agency may be the right career move for you. We put the patient's needs first, but we also know that to give good service, you have to treat your caregivers well. Our first step in delivering excellent service to clients is to give the caregivers the support they need and the respect they deserve. If you would like to know about future job opportunities, simply use the form on this page to send your information.

Employment Application

First Name:

Middle Name:

Last Name:

Other Names Used:

Street Address:

City:

State:

Zip:

Email:

Phone:


Can you legally work in the US?
   
Have you ever been convicted of a felony?
   
Are you 18 or older?
   
Are you currently employed?
   
Have you ever been employed by Kompassionate Care Services?
   
Do any of your relatives work for Kompassionate Care Services?
   
Do you have a valid driver's license?
   
If required for the position, can you provide proof of auto insurance?
   
How did you learn about this employment opportunity?



Position you are applying for:
Date available:
Applying for:
Days available to work:
Are you able to perform the essential functions of the job you are applying for, with or without reasonable accommodation?
   

Education and Training

School Name:

City & State:

Dates attended (from month/year)

Dates attended (to month/year)

Did you graduate?

If no, when is graduation?

Degree Received

Major




Other credentials – Licenses | Certifications or professional affiliations, etc., which are relevant to the job(s) for which you are applying.

License | Certification

Lic/cert # | State Issued
License | Certification

Lic/cert # | State Issued
License | Certification

Lic/cert # | State Issued


Military | Branch of Service
Describe any military training received relevant to the position for which you are applying



Notes:


Clerical Skills

Typing
   
Medical Terminology
   
Medical Billing | Coding
   


Computer Skills
Types of programs such as Excel, Word, Medicare, Medicaid, etc.
Other relevant office skills


Employment History

(Begin with most recent)

Employer #1

Employer name:

Job title | Duties
From:

To:
Supervisor's name:

Phone:
Address:

Reason for leaving:
May we contact this employer?
   

Employer #2

Employer name:

Job title | Duties
From:

To:
Supervisor's name:

Phone:
Address:

Reason for leaving:
May we contact this employer?
   

Employer #3

Employer name:

Job title | Duties
From:

To:
Supervisor's name:

Phone:
Address:

Reason for leaving:
May we contact this employer?
   

References

Provide the names of three people not related to you. Two must be supervisory or professional.
Name:

Phone:

Address:

Occupation:

Name:

Phone:

Address:

Occupation:

Name:

Phone:

Address:

Occupation:

Comments:


Esignature | Enter your full name (Under feral law, this is a legally binding signature.):


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