Apply for PCA Moore, Lee & Harnett Counties

Become a Care Professional >> PCA Moore, Lee & Harnett Counties >> Apply

Hello and thank you for your interest in Home Instead. Please fill out the application below and click the Submit button when finished. Fields with an asterisk (*) are required.

Please note that this is the job board for the franchise office located at 555 Executive Place. Each Home Instead franchise is independently owned and operated. To find a franchise near you, please visit the Careers page.

For job related questions please call the franchise office at 910-484-7200.

Summary
Title:	PCA Moore, Lee & Harnett Counties
ID:	2154
Job Type:	Full-Time
Contact Information
* First Name:
* Last Name:
* Email:
* Phone:
* Address 1:
Address 2:
* City:
* State:
* Zip:
Opt-In Confirmation
	The application is powered by ApplicantStack on behalf of Home Instead . By submitting this application, I consent to receive SMS updates from Home Instead at (888) 316-4617 regarding my employment application. SMS Messages will only be sent by Home Instead exclusively for hiring-related communications. Your mobile information will not be shared with third parties or affiliates for marketing or promotional purposes. Message frequency varies. Message and data rates may apply. Reply HELP for help or STOP to opt out.
Attachments
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Cover Letter:	You can type in a Cover Letter or Copy/Paste from an existing document.

Additional Information

* How did you hear about Home Instead?

If applicable, please specify:

Care Pro References

BASIC INFORMATION

* Have you ever submitted an application here before?

Yes No

If yes, when?

* Are you able to perform the essential functions of the job for which you are applying with or without a reasonable accommodation?

Yes No

WORK HISTORY

MOST RECENT EMPLOYER

* Are you currently working for this employer?

Yes No

If yes, may we contact?

Yes No

* Company Name:

* City:

* State:

Company Phone:

Dates Employed - From:

Dates Employed - To:

Duties:

Reason for Leaving:

REFERENCES

If you are considered for a position, we may contact your references and would ask that you notify them in advance. Please do not list relatives or family/relations.

Professional References

Full Name	Phone Number	Best Time of Day to Call	Email	Relationship (No Relatives)	Number of Years Known
*	*	AM PM		*
*	*	AM PM		*

Personal References

Full Name	Phone Number	Best Time of Day to Call	Email	Relationship (No Relatives)	Number of Years Known
*	*	AM PM		*
*	*	AM PM		*

APPLICANT NOTE

Keneri, LLC is an independently owned and operated Home Instead® franchise 555 Executive Place Fayetteville, NC 28305 (910) 484-7200

Eriken, LLC is an independently owned and operated Home Instead® franchise at 293 Olmsted Blvd Suite 11-1 Pinehurst, NC 28374 (910) 484-7220.

This application will be valid for 60 days. If you need further assistance for any phase of the employment process, please notify the HR department for either location and every reasonable effort will be made to meet your needs in a reasonable amount of time.

This application that you have completed online is intended for use in evaluating your qualifications for employment with us, an independently owned and operated Home Instead franchise. This is not an employment contract. Please be sure that you answered all appropriate questions completely and accurately. False or misleading statements during the interview and on your application materials are grounds for terminating the application process or, if discovered after employment begins, terminating employment. All qualified applicants will receive consideration and will be treated throughout their employment without regard to race, color, religion, sex, national origin, age, disability, or any other protected class status under applicable law..

CERTIFICATION

I certify that I have read and understand the applicant note above and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts in this application process may result in rejection of my application or discharge at any time during my employment. I authorize the company and/or its agents, including consumer-reporting bureaus, to verify any of this information including, but not limited to, criminal history and motor vehicle driving records. I also understand that the use of illegal drugs is prohibited when carrying out my job responsibilities. I am willing to submit to drug screening if requested to detect the use of illegal drugs prior to and during employment, as allowed under applicable law.

I understand that this application is not a contract for employment.

By typing your name below you are electronically signing this document.

* Signature (type full name):
* Date:

Care Pro Application Questions

* Are you legally authorized to work in the United States?

	Yes
	No

* Are you at least 18 years of age?

	Yes
	No

* Do you currently have a valid driver's license?

	Yes
	No

* . Do you have reliable access to a personal vehicle that you can use for client assignments?

	Yes
	No

* Is your vehicle currently insured, and are you listed as an insured driver on the policy?

	Yes
	No

* How far are you willing to travel from your home for a client assignment?

	0-10 miles
	0-20 miles
	0-30 miles
	0-40 miles

* Approximately how many hours per week are you seeking?

	0-10
	10-20
	20-25
	25+

* Please indicate all shifts you are regularly available to work:

* Are you available to work every other weekend as required for this position?

	Yes
	No

* Are you willing to provide personal care services, which may include bathing, dressing, grooming, toileting and incontinence care?

	Yes
	No

* Are you willing and able to drive both your personal vehicle and a client's vehicle when required as part of a client assignment?

	Yes
	No

* Are you willing to work in a client's home where someone smokes?

	Yes
	No

* Will you work with a client who has dogs?

	Yes
	No
	Small Dogs Only

* Will you work with a client who has cats?

	Yes
	No

* Do you currently hold an active North Carolina CNA certification?

	Yes
	No

* Do you have previous professional or personal caregiving experience?

	Yes
	No

* Which of the following do you have experience with? Check all that apply.

* Have you lived continuously in North Carolina for the past five (5) years?
Applicants who have lived in North Carolina for less than five (5) years will be required, following a conditional offer of employment, to consent to a State and national criminal history record check, including fingerprinting, in accordance with N.C. Gen. Stat. § 131E-265.

	Yes
	No

* I understand that, as part of the Home Instead hiring process, I will be required to complete applicable pre-employment screenings, including a background check, driving record check, and drug screening.

	Yes
	No

U.S. Release & Authorization for Criminal Background Check & Drug Screen

Release Authorization

* Last Name:		* First Name:		Middle Initial:
Maiden/Previous Names:
* Home Address:		* City:
* State:		* Zip Code:
* Social Security Number:		* Date of Birth:
* Gender:	Male Female	* Race:	Asian Black Hispanic Indian Native American White Other If Other, Please Specify
Driver's License Number:		Issuing State:

Authorization to Secure Consumer Investigative Report

I authorize Keneri, LLC and/or Eriken, LLC d.b.a. an independently owned and operated Home Instead franchise, to make whatever inquiries it may deem necessary in connection with my course of employment. As part of such inquiries, Employer has my permission to contact persons who may have information regarding my suitability for employment and to secure consumer reports (including investigative consumer reports).

I authorize and instruct any person or agency contacted to participate or conduct inquiries at its request, to compile information, and to furnish any information obtained as a result of such inquiries.

I further authorize Employer, in its sole discretion, to furnish copies of this authorization and my application to any person and/or consumer-reporting agency in connection with above purposes.

Authorization for Drug Screening

I consent to drug testing designed to detect the presence of alcohol or the illegal use of drugs.

Disclosure Statement

Information contained in reports obtained by Employer in accordance with above authorization may include information pertaining to your character, general reputation, police record, personal characteristics, and mode of living. You have the right to request that Employer completely and accurately disclose to you the nature and scope of all investigations requested. Such a request must be made in writing within a reasonable period of time after your application for employment is received.

I hereby acknowledge that I have read and understand the above disclosure statement.

* Signature (type name):

* Date:

Submit

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	Weekday mornings
	Weekday afternoons
	Weekday evenings
	Overnight shifts
	Saturday
	Sunday
	Holidays
	12-hour shifts
	Other: ______

	Alzheimer's/dementia care
	Personal care
	Gait belt/transfers
	Hoyer/mechanical lift
	Hospice/end-of-life support
	Companionship
	Meal preparation
	Medication reminders
	None of the above

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