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Employment Application

If you think that you have what it takes to work for TLC 24hrs. Companion Care Services, LLC we’d love to hear from you. Please fill in the form on this page.

* required field

PERSONAL INFORMATION

First Name:*

Last Name:*

Gender:*

Date Of Birth:*

Address:*

City:*

Zip:*

Email Address:

Contact No.:*

Best Time To Call*

Emergency Contact

Phone:

Relationship

Do you drive?*

Since When?

Own a car?*

Driver's License?

State Issued?

Expiration?

If you don't drive, how did you come to work?

TRAINING:

CNA LVN

Others

EXPERIENCE/SKILLS CHECKLIST:

Activities of Daily Living (ADLs)

Here are some examples of in-home caregiver duties:

Please check that appropriate for you.

Assisting with light meal preparation
Doing the dishes and the client’s personal laundry
Light housekeeping, such as vacuuming, cleaning the washroom and tidying up
Shopping for groceries for the client
Helping the client sort through their mail
Keeping the client active and engaged by going for walks, playing card games and encouraging the client to maintain social connections
Providing overnight care and supervision

Are you willing to assist clients in their personal care?

Getting dressed
Taking a bath or shower
Using the toilet
Shaving and grooming
Transferring in and out of bed or a chair
Eating

In-Home Health Care Duties

The duties of an in-home health care provider include all the same duties of a home care worker, as well as some limited medical services. In-home health care providers have medical training that allows them to perform some basic medical care, such as:

Checking vital signs
Assisting with medication management
Monitoring chronic health conditions, such as diabetes, sleep apnea, congestive heart failure and Alzheimer’s disease
Performing ostomy care

By checking this box, I certify that I have read and agree to the TLC 24 Hrs Companion Care Services, LLC Terms of Use and Privacy Policy. We take your privacy seriously and never sell the information that you provide.*

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Service Area:

Las Vegas, Nevada
Clark county
Henderson city
Boulder city