Apply for Respite Care Worker (Flexible Hours)

💝 Personal Information

Tell us a little about yourself - Your progress will be automatically saved

First Name *

Last Name *

Email Address *

Phone Number *

City

State

📚 Work Experience

Add as many positions as you'd like

Job Title

Company Name

Start Date

End Date (or "Present")

Key Responsibilities

🎓 Education

Add your educational background

School/University Name

Degree/Diploma

Field of Study

Graduation Year

✍️ Why Join Our Family?

Tell us why you're passionate about this role and how you align with our caring mission

Cover Letter / Why You'd Be a Great Fit

This is your chance to show us your heart and passion for helping others

📄 Resume

Upload your resume (PDF, DOC, or DOCX format)

cloud_upload

Click to upload resume

Or drag and drop your file here

🎓 Certifications & Licenses

Required for direct support roles

CPR/First Aid Certification

Valid Driver's License

PA Criminal Record Check Status

FBI Clearance Status

Other Relevant Certifications

👥 Professional References

References are optional but appreciated (helps us get to know you better)

Reference 1 (Optional)

Full Name

Relationship

Phone Number

Email

Reference 2 (Optional)

Full Name

Relationship

Phone Number

Email

📋 Additional Information

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

I'm willing to relocate if needed

I have reliable transportation to work sites

LinkedIn Profile (optional)

How did you hear about this position?

✅ Consent & Acknowledgments

I authorize Tailored Support Services to conduct background checks, including criminal history, employment verification, and reference checks *

I certify that all information provided in this application is true and complete to the best of my knowledge *

Electronic Signature (Type your full name) *

Respite Care Worker (Flexible Hours)