Application

1. We have to comply with the rules of the state of MN for homes like ours. One of those rules is that our employees must be at least 18 years of age. Are you?
Yes No

2. Another rule from the State is that our employees have to be able to pass a criminal background check. Can you?
Yes No

3. Also, our employees must be eligible to work in the US and be able to complete an I-9 form. Can you?
Yes No

4. Our aides must be able to support our residents’ limbs during exercises. Can you lift up to 40 pounds?
Yes No

5. Would you need an accommodation In order to do that?
Yes No

6. Two of our homes are not located on a bus line. Would that present a transportation issue for you?
Yes No

7. What is your availability (days of the week, shifts)?

8. Have you had any experience (not required) in working with individuals with physical disabilities?
Yes No

9. Our employees enjoy their work and frequently refer employment candidates to us. Were you referred to us? If so, by whom?
Yes No

Please submit your first and last name, phone number, and email address below.

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