Join the Caring Cove Home Health Care Agency Team Complete the application below to be considered for current and future employment opportunities with Caring Cove Home Health Care Agency. Questions? Contact Us Complete Your Employment Application Complete the application below to be considered for current and future employment opportunities with Caring Cove Home Health Care Agency. Most applicants complete the application in approximately 10–15 minutes. There was an error trying to submit your form. Please try again. First Name * Enter your first name. This field is required. Last Name * Enter your last name. This field is required. Street Address * Enter your street address. This field is required. City * Enter your city. This field is required. State * Select your state. Select an option Ohio Pennsylvania Michigan West Virginia Indiana This field is required. ZIP Code * Enter your ZIP code. This field is required. Phone Number * Enter your phone number. This field is required. Email Address * Enter your email address. This field is required. Position Applying For * Select the position you are applying for. Select an option Home Health Aide (HHA) STNA LPN This field is required. Employment Type * Select the type of employment you are seeking. Select an option Full-Time Part-Time PRN This field is required. How did you hear about Caring Cove? How did you hear about Caring Cove? Indeed Facebook Caring Cove Website Google Search Employee Referral Family or Friend Ohio Means Jobs Other Days Available Select the days you are available. Monday Tuesday Wednesday Thursday Friday Saturday Sunday Are you available on weekends? * Select Yes or No. Yes No This field is required. Do you have reliable transportation? * Select Yes or No. Yes No This field is required. What counties are you willing to work in? * Summit County Portage County Wayne County This field is required. Do you have a valid driver's license? * Select Yes or No. Yes No This field is required. Certifications * HHA Certificate STNA License LPN License CPR First Aid Other N/A This field is required. Employer Name * Enter the name of your current/past employer. This field is required. Position Held * Enter your position held at that employer. This field is required. Employment Dates * Enter the dates of employment (e.g., Jan 2020 - Dec 2021). This field is required. Supervisor Name Enter your supervisor's name. This field is required. Supervisor Phone Number Enter your supervisor's phone number. This field is required. Reason for Leaving * Provide a brief reason for leaving the position. This field is required. May we contact this employer? * Yes No This field is required. Upload Resume Click to upload or drag and drop This field is required. Professional Reference 1 * Name of Reference This field is required. Relationship * This field is required. Phone Number * Reference Phone Number This field is required. Employer * This field is required. Professional Reference 2 * Name of Reference This field is required. Relationship * This field is required. Phone Number * Phone Number of Reference 2 This field is required. Employer * This field is required. Are you legally authorized to work in the United States? * Select Yes or No. Yes No This field is required. Have you ever worked for Caring Cove Home Health Care Agency LLC before? * Select Yes or No. Yes No This field is required. Have you ever been convicted of a criminal offense that has not been sealed or expunged? * Yes No This field is required. If yes, please explain? This field is required. Do you have any pending criminal charges? * Yes No This field is required. If yes, please explain? This field is required. Have you ever been excluded from Medicare or Medicaid? * Select Yes or No. Yes No This field is required. Can you perform the essential functions of the position with or without reasonable accommodation? * Select Yes or No. Yes No This field is required. Emergency Contact Name * Enter Emergency Contact's Name This field is required. Relationship * What is the relation This field is required. Phone Number * Your Emergency Contact #<br> This field is required. When are you available to start? * Start Date mm/dd/yyyy This field is required. I certify that the information provided in this application is true and complete to the best of my knowledge. I authorize Caring Cove Home Health Care Agency LLC to verify the information provided and understand that submitting this application does not guarantee employment. I understand that providing false information may result in disqualification from employment or termination if hired. * This field is required. By signing my full legal name below, I acknowledge and agree to the certification above.Full Legal Name Signature * This field is required. Date Signed * mm/dd/yyyy This field is required. Submit Application There was an error trying to submit your form. Please try again.