LyfeSavers
The first innovation to donational healthcare staffing
 
 
 
 
 
 

Employment Application

LyfeSavers is looking for CNAs (for part time & full time) to take on in home healthcare needs in the Carlsbad, CA area for our IN HOME client positions.

  • Resume
  • Current C.P.R card
  • Clean Background Check
  • Current T.B Testing
  • Valid Personal/professional License (C.N.A)
  • Current Physical Examination
  • Pass a Drug test, if hired

Thank you, we look forward to working with you.
Want to apply? Choose an option most convenient for you!
Option 1)
  1. Click on the "LyfeSavers Employment Application" button below
  2. Print out the application document.
  3. Scan the completed document.
  4. Email the scanned application document to lyfesaversoffice@yahoo.com
Option 2)
  1. Fill out the application on the webpage below.
  2. When you are finished, click on "Submit" at the bottom of the page.
Application Information
 
Full Name:
 
 
 
 
 
 
Address:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Are you a citizen of the United States?
 
 
 
 
 
 
 
If no, are you authorized to work in the U.S.?
 
 
 
 
 
 
 
 
Have you ever worked for this company?
 
 
 
 
 
 
 
 
 
Have you ever been convicted of a felony?
 
 
 
 
 
 
 
Education
 
 
 
 
 
 
Did you graduate?
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Did you graduate?
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Did you graduate?
 
 
 
 
 
 
 
 
References
Please list three professional references.
 
 
 
 
 
 

 
 
 
 
 
 

 
 
 
 
 
 
Previous Employment
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
May we contact your previous supervisor for a reference?
 
 
 
 
 
 
 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
May we contact your previous supervisor for a reference?
 
 
 
 
 
 
 

 
 
 
 
 
 
 
 
 
 
 
May we contact your previous supervisor for a reference?
 
 
 
 
 
 
 
Military Service
 
 
 
 
 
 
 
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.