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First name
*
Last name
*
Email
*
Phone
How did you hear about us?
Friends
Social Media
Other
Are you legally authorized to work in the U.S.?
Yes
No
Do you have a valid driver's license?
Yes
No
Do you have experience as PSS or CNA?
Yes
No
Do you have reliable transportation to travel to clients' homes?
Yes
No
Are you able to pass a Maine DHHS background check (MBCC)?
Yes
No
Are you willing to work with clients who require:
Personal care
Transfer/Hoyer lift
Dementia care
Cat or dog in the home
Availability
Full Time
Part Time
Days
Nights
Weekends
What towns or areas are you willing to work in?
Brunswick, Lewiston, Auburn, Topsham, Bath, Augusta, Lisbon, etc
File upload
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