Caregiver Job Application


APPLICANT INFORMATION

Application Status
Submitted
Name (First, Middle, Last)
Sarah L Williams
Created: 07/13/2020
Other names under which employment may be verified:  
Updated: August 19, 2020

Home Address
Street Address
8320 s Throop St
Unit/Suite Number
City ST/Zip
Chicago , IL 60620
Home Phone
Mobile Phone
7737984615
Alternate Phone

Have you ever worked for us before?   No
If no, how did you hear about us? Research
Rate of pay desired.   15.00
Do you have a valid driver’s license?   No
Do you have access to a car? No

I am able to work client who has or lives with:
Family
Yes
Hospice
Yes
Cats
Yes
Dogs
Yes
Smoker
Yes
What languages do you speak?   english
Do you have any caregiver training from other home services agencies?  Yes
If yes, explain.  Help At Home

How many years have you worked as a professional caregiver?  4
What percent of your previous case work has been for an agency?  90
Please explain how you will contribute to strengthen the Water Tower Nursing team.

Hi my name is Sarah Williams and since I could remember I’ve always gotten pleasure from helping others. Believing that in life everyone needs help whether young or old from time to time. I was 16 when my grandma was diagnosed with Dementia and I’m glad i was able to be there for her as family should. No money needed i helped her from just sitting and talking to taking walks, trying my best to keep her mind from wondering. Also cooking meals and the cleaning of her apartment as well as self care and making sure she took her medicine daily as well as running errands for her and with her. During such time I learned something about myself I liked helping people and seeing the smile on their face and hearing it in their voice. Since then I’ve had customer service jobs working with the public always with a smile on my face and in my voice and plenty of help to give. For the last 3 yrs I’ve worked for Help At Home LLC as a Caregiver having different clients with different health issues ranging from Dementia to bedridden and anything in between and with each client I gave the same respect, energy and care as I would anyone. I am a hard worker and dedicated to helping make life a little easier for my clients if I can.

Please share one or more personal or professional experiences you have had as a caregiver.

My last client Ms.Linda Pennington was a really nice lady so we fit perfect together because so am I. I worked for her for about 1yr and a half. Her health issues included her being bed bound due to poor circulation in her legs and also being a diabetic. My duties included up keep of the house,Cooking making sure she took her diabetic medicine, accompanying her to doctor appointments,Self Care and being a companion. I also worked for her twice a day during the day I would worked for her through Help At Home. At night I worked for her she needed extra help and I was happy to oblige.

Availability

Days   No
Nights   Yes
Weekdays   Yes
Weekends   No
Live-in   No
Can you travel outside the city of Chicago to work?   No

Education

High School   Midwest Theological Institute
Location:   Chicago,IL
Did you graduate?   Yes
Subjects Studied   Graphic Design

College   Columbia
Location:   Chicago,IL
Did you graduate?   No
Degree:   

Other:   
Location:   
Did you graduate?   
Degree:   

Special awards you earned or courses you have taken.
Food Handlers Certificate

Military Service

U.S. Military or Naval Service   No
Military branch and rank at discharge:   

Licenses and Certifications

EMPLOYMENT HISTORY

Company Name
Best Buy Co
Phone
Address

Belmont

Supervisor
K.C
Job Title
Customer Service Cashier
Salary or Rate of Pay
12.00
Responsibilities
Knowing products of sell, assisting customers with finding items or directing them to the right department, cashier and up keep of front station
From
08/09/2016
To
09/10/2017
Reason for Leaving
My kids was just starting school
May we contact this employer?  Yes

Company Name
Macys The Walnut Room
Phone
Address

Macys on State St

Supervisor
Job Title
Hostess
Salary or Rate of Pay
13.25
Responsibilities
Greeting customers and table seating
From
11/15/2017
To
01/17/2018
Reason for Leaving
Seasonal
May we contact this employer?  Yes

Company Name
Help At Home LLC
Phone
3127620900
Address

1 North State St

Supervisor
Ms.Hunter
Job Title
Caregiver
Salary or Rate of Pay
14.50
Responsibilities
Care of client and their home, medicine reminder, preparation of meals and accompanying them to appointments and running errands with or for them and being a companion to my clients.
From
09/12/2018
To
07/16/2020
Reason for Leaving
Currently still employed
May we contact this employer?  Yes

 

REFERENCES & ACCEPTANCE

Thank you for entering your employment history in Part Two. Before proceeding, could you please explain any gaps in your work history.
When I stopped working for Best Buy it was due to my children being young and me being skeptical of placing them in a DayCare. Both of them attend school they are of age and I’ve been working ever since.
Character References
Please provide the names and contact information for three persons, not related to you, whom you have known for at least one year.
Name
Taishaun Owens
Phone
3123859262
Address
Best Buy Co
Relationship
Supervisor

Name
Pastor Isom
Phone
7733920700
Address
3801 w Grenshaw St
Relationship
Pastor

Name
Travis Lee
Phone
7737981922
Address
Relationship
Co worker
Additional Information
Feel free to add any notes or additional information to your application in the space provided below.
No additional notes provided.
Thank you for entering your employment history. If gaps exist in your employment history, please explain the gaps here.
When I stopped working for Best Buy it was due to my children being young and me being skeptical of placing them in a DayCare. Both of them attend school they are of age and I’ve been working ever since.
Additional Certifications
No additional certifications or licenses provided.

Have any of your certifications or licenses been suspended or revoked?  No
If yes, explain.  
Resume Upload (optional)
No Resume Uploaded
If hired, would you be able to provide a copy of your Social Security Card?* (IDPH requirement)
Yes

I certify that the information contained in this application is true and correct to the best of my knowledge and I understand that falsification of this information is grounds for refusal to hire, or if hired, termination of my employment.

I agree that my employment is at-will and may be terminated or an offer of employment may be withdrawn by Water Tower Nursing and Home Care, Inc. (WTN) at any time, with or without notice, and for any lawful reason.

I understand that as a condition of employment and for continued employment, WTN may require periodic drug testing. I understand WTN will use the information gathered on this employment application to conduct background checking and will contact my references and agree to such references giving WTN any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise. I hereby release WTN, its shareholders, officers, directors, employees and agents from any an all liability for any damage that may result from the collection or utilization of such information in connection with evaluating my potential employment.

I understand if hired, I will be required to produce documentary evidence proving that I am currently authorized to work in the United States. I understand my continued employment is contingent upon providing proof of continuing work authorization upon expiration of any documents provided at time of hire. I understand I will have to provide a copy of my Social Security card upon hire as required by the Illinois Department of Public Health (IDPH).

I understand and agree that no representative of WTN has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to foregoing, unless it is in writing and signed by WTN’s President.

Accepted by
Sarah Williams

PART FIVE – APPLICATION SUBMISSION

Application Status
Submitted
Date Submitted
July 16, 2020
This application has been submitted and can no longer be edited.