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Where we are all family

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Contact Us

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Contact Caring For Yours LLC Today

Do you need help caring for someone with developmental disabilities? We are here! Our team has over 30 years of experience, and we'll treat your loved one like our own family.

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Transportation: (419) 277-2676

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Point of contact: Jeff White

Business Hours

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24-hour emergency services are available

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Get In Touch With Us

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Employment Application

EMPLOYMENT APPLICATION

NAME: First, Middle , Last

STREET ADDRESS:

CITY, STATE, ZIP CODE:

PHONE NUMBER:

Are you eligible to work in the United States?

YES

NO

Do you have a valid driver's license and auto insurance?

YES

NO

Have you lived in Ohio for the past 5 years?

YES

NO

Are you at least 18 years of age?

YES

NO

Have you been convicted of or plead guilty to any disqualifying offenses (felony, misdemeanor, etc.)?

YES

NO

If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation

POSITION/ AVAILABILITY:

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

HOURS:

Weekend availability is required. Are you available to work weekends?

YES

NO

What date are you available to start working?

EDUCATION: Name and Address Of School - Degree/Diploma - Graduation Date

All applicants must have a high school diploma or GED equivalent. Please provide a copy at interview. Skills and Qualifications: Licenses, Skills, Training, Awards

EMPLOYMENT HISTORY: Present Or Last Position:

Address:

Supervisor:

Phone:

Email:

Position Title:

From:

To:

Responsibilities:

Salary:

Reason For Leaving:

Previous Position:

Employer

Address:

Phone:

Email:

Position Title:

From:

To:

Responsibilities:

Salary:

Reason for Leaving:

May We Contact Your Present Employer?

YES

NO

References: Name/Title Address Phone

I certify that information contained in this application is true and complete. I understand that falsification of information is grounds for revoking my application and/or immediate termination of employment at any point in the future. I authorize the verification of any or all information listed above.

YES

Signature:

Date:

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SERVING

Lucas County and Wood County

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HOURS

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Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

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HOURS

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OFFICE HOURS

Mon - Fri 8:00 am - 4:00 pm

Sat Closed

Sun Closed

Evening, weekend, and holiday hours are available.

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24-hour emergency services are available

CONTACT US

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