Caregiver Job Application


APPLICANT INFORMATION

Application Status
Submitted
Name (First, Middle, Last)
JONELL HENRY JOHNSON
Created: 12/08/2019
Other names under which employment may be verified:  Henry Johnson
Updated: January 3, 2020

Home Address
Street Address
2556 W Fullerton Ave
Unit/Suite Number
Fl 2
City ST/Zip
CHICAGO, IL 60647
Home Phone
5177751986
Mobile Phone
Alternate Phone

Have you ever worked for us before?   No
If no, how did you hear about us? indeed
Rate of pay desired.   17.00
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?   
Do you have any caregiver training from other home services agencies?  No
If yes, explain.  

How many years have you worked as a professional caregiver?  2
What percent of your previous case work has been for an agency?  0
Please explain how you will contribute to strengthen the Water Tower Nursing team.

I am focused on personal care with strengths in ADL and rehab. My application of customer service exceeds standard. My service is exceptional. Additionally, with my administrative background/experience - I am a rare combo who is exceptional hands on, person to person and in an office setting (HR, Programing, Finance, Facilitative Management, Employee Leiasion). I am professional and genuine in character and values! This is a skill that I focus on and effectively translate to all, at work and outside of work. I make sure that my service is a positive experience that shows/is tangible. My impact is measurable through difficult situations, conversations. I am a person of policy and integrity, meaning I do not make exceptions in my application and standard of service.

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

one of the admiral residents on the rehab floor has parkinson´s - although she didn speak much as a result of the condition, I always spoke to her. I would speak outloud and carry on a conversation one way. to avoid making it awkward, I often just spoke outloud what I was doing and why. I also, asked her questions like would you like to wear this or that today, and then if she gave no response, select an option and jokingly say to her I agreed with her choice. 1 month or so of me providing care, she was noticeably happier and would make an effort to speak.

after a meal in Assisted Living, i was walking the floor and heard kitchen staff and residents arguing in the dining room. I went in and simply listened before mediated. i explained what I observed to be the problem(s) and then got clarification/agreeance from both groups. i told the residents that while this is their home, the meal had ended 1hr ago and that the kitchen staff could not clean/flip the space for the next meal with them physically present and still requiring service, which was being met. i explained that both the kitchen staff and myself are present to provide them service and asked that they accept and allow us to do so. While they were still disgruntled - they verbally thanked me for explaining and communicating to them in the way I had.

Availability

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

Education

High School   East Lansing HS
Location:   East Lansing, MI
Did you graduate?   Yes
Subjects Studied   General Education

College   Columbia College Chicago
Location:   Chicago, IL
Did you graduate?   Yes
Degree:   BA - Mrkt/PR

Other:   Flint School of Therapeutic Massage
Location:   Grand Blanc, MI
Did you graduate?    Yes
Degree:   Certified Massage - All Areas

Special awards you earned or courses you have taken.
many accolades service related over my 11 yr YMCA career in Youth Service - able to expand per request

Military Service

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

Licenses and Certifications

EMPLOYMENT HISTORY

Company Name
YMCA - McGaw, Evanston
Phone
847-475-7400
Address

1000 Grove Street Evanston IL 60201

Supervisor
Bernard Rocca
Job Title
Administrative Asst. to Branch Dr. - Camp Echo
Salary or Rate of Pay
22.00hr
Responsibilities
admin support - Hr - camp online portal management - fee assistance scale mgmt/awards. many more responsibilities
From
09/28/2008
To
08/28/2017
Reason for Leaving
career change
May we contact this employer?  Yes

Company Name
Admiral at the Lake
Phone
773-433-1800
Address

929 W. Foster Ave Chicago 60640

Supervisor
Anjela Jalloh
Job Title
Care Partner
Salary or Rate of Pay
16.00hr
Responsibilities
ADL - personal care - all levels of care - focus on rehab
From
10/28/2017
To
03/28/2019
Reason for Leaving
FMLA - denial/health
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.
No gaps or no explanation provided.
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
Erica Eckhardt
Phone
319-572-2490
Address
chicago, il
Relationship
co-worker/personal

Name
Cher Hamilton
Phone
309-221-0419
Address
Chicago, il
Relationship
co-worker/personal

Name
Jennifer Dietelhoff
Phone
773-433-1800
Address
933 W. Foster Ave.
Relationship
supervisor - admiral
Additional Information
Feel free to add any notes or additional information to your application in the space provided below.

I am very very good at providing care to seniors and those in need. My character and methodology is of an incandescent style. I work hard, and I learn from my interactions/experiences every single day. I would like the opportunity to grow, learn and service people under the umbrella of WaterTower Nursing.

Thank you for entering your employment history. If gaps exist in your employment history, please explain the gaps here.
No gaps or no explanation provided.
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)
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
Jonell Henry Johnson

PART FIVE – APPLICATION SUBMISSION

Application Status
Submitted
Date Submitted
December 31, 2019
This application has been submitted and can no longer be edited.