Personal Care Assistant:

Personal Care Assistant

Assistant client in aids to daily living, dressing, personal hygiene, etc. Offer reminders to complete tasks such as taking medications.

This assignment is full time in the town of Audubon.

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I am over the age of 18.

I am able to work in the United States

Have you been convicted of or pleaded no contest to a felony within the last seven years?

If yes, please explain

Day/Hours Availability

Please enter the hours you are available on the following days

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Sunday	From	To

What date are you available to start work?

Please list your skills and qualifications

Education

High School

What was the name of the High School you attended? Did you graduate? If so what year?

Education

College / Post Secondary

What was the name of the College / Post Secondary School you attended? What was the location of the College / Post Secondary School you attended? What dates did you attend?

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Previous Employment 2

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Previous Employment 3

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