Job Opportunities - Fidelity Home Care of PA 215 488-7535

Are you 18 years of age or older?*

Yes No

Are you legally authorized to work in this country? *

Yes No

Do you have any physical limitations? *

Yes No

If yes, what accommodations or limits on duties do you require?

Have you ever been convicted of a felony or misdemeanor? *

Yes No

If yes, please describe:

How did you hear about Fidelity Home Care of PA?

Date available to start work:

Position Desired*

Live-in Hourly

Please complete availability below by selecting start and end times for each day:

High School (Name and Location):

College/Trade School (Name and Location):

Are you a Certified Nursing Assistant (CNA)?

Yes No

Are you a Certified Home Health Aide (HHA)?

Yes No

Please list your three most recent employers starting with the most recent. This should include the name, address, phone number, dates employed, salary and reason for leaving.

Please check all you have experience with:

By typing your name below, you certify that all the information furnished on this application and during the application process is true, complete and correct to the best of your knowledge. You understand that any misrepresentation or omission of facts called for may result in refusal to be hired, may result in dismissal at any time regardless of when the false answer or omissions are discovered. Additionally, you agree to comply with the Pennsylvania state requirements regarding criminal history background checks for health care employment.*

We Serve Bucks, Montgomery, Philadelphia, Chester, and Delaware Counties.

Fidelity Home Care of PA Job Opportunites

Serving Bucks, Montgomery, Philadelphia, Chester, and Delaware Counties.

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