9449 South Kedzie Avenue, Ste 148 Evergreen Park, IL 60805

Excellent Home Health Care And Consulting LLC (EHHCCS)

Call Now! 312-767-5688

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Careers

Apply for a Career At
Excellent Home Health Care and Consulting LLC in Evergreen Park, IL, Today

Man Giving Senior Man Food — Evergreen Park, IL — Excellent Home Health Care And Consulting LLC (EHHCCS)

If you are interested in working as an Independent Contract Caregiver with Excellent Home Health Care and Consulting, LLC:

We always seek qualified and certified State of Illinois Caregivers to service our clients. Enjoy working as an Independent Contract worker, working your hours, enjoying the autonomy of working directly with and for the client, special benefits and compensations, and private pay for private duty work.

If you’re interested in working as a Caregiver with Excellent Home Health Care and Consulting, LLC, call the office at 312-767-5688, Monday - Saturday, 9:00am – 6:00pm CST.

Apply Today

Personal Information

Section 1 - Applicant Information

First Name

Last Name

Home Phone

Mobile Phone

Email

Address 1

Address 2

City

State

Zip

Date of Birth

Start Date

Section 2 - Employment Verification

Section 2 - Personal Information

Are you a U.S. citizen?

Yes

No

Are you authorized to work in the U.S?

If applicable, do you have a current work permit?

Yes

No

N/A

Have you ever been convicted of, or plead guilty or no contest to, a misdemeanor or felony in this state or any other?

Yes

No

If yes, please explain.

Can you provide documentation of a driver's license and auto insurance?

Yes

No

Auto insurance company and expiraton date:

Briefly describe your experience as a caregiver

Section 4 - Education

Section 3 - Education Information

Name of High School

Location of High School

Did you graduate?

Yes

No

Years Attended (From/To)

Additional Education (vocational, undergraduate, etc.)

Yes

No

If yes, please list the name of the school and years attended (From/To)

Section 5 - Other Training: Certifications/Licenses

Section 4 - Other Training: Certifications/Licenses

Certifications/Licenses

Section 6 - Availability Schedule

Section 5 - Availability Schedule

MONDAY: From - To

TUESDAY: From - To

WEDNESDAY: From - To

THURSDAY: From - To

FRIDAY: From - To

SATURDAY: From - To

SUNDAY: From - To

Are you available for emergency fill-in?

Are you available for live in (24 hr shifts)?

Yes

No

Are you available for sleepovers?

Are you available for overnight shifts? Awake and Alert

Preferred areas of work location. List three:

Preferred areas of work location. List three:

1. Preferred areas of work location.

2. Preferred areas of work location.

3. Preferred areas of work location.

Section 7 - Current Employment

Section 6 - Current Employment

Current Employer

Address

City

State

Zip Code

Office Phone Number:

Start Date

End Date ( Not Applicable )

Hours Worked

Position/Title

Describe Your Responsibilities

Reason for Leaving ( If Applicable)

May we contact?

Yes

No

Section 8 - Employment History

Section 7 - Employment History

Previous Employer

Address

City

State

Zip Code

Office Phone Number

Start Date

End Date

Hours Worked

Position/Title

Describe Your Responsibilities

Reason for Leaving ( If Applicable )

May we contact?

Yes

No

Section 9 - Reference 1

Section 8 - Professional Reference 1

Name

Company

Phone

Section 10 - Reference 2

Section 9 - Professional Reference 2

Name

Company

Phone

Section 11 - Emergency Contact Information

Section 10 - Personal Character Reference

First Name

Last Name

Address

City

State

Zip Code

Phone number

Relationship

Section 12 - Caregiver Attributes

Section 11 - Caregiver Attributes

Are you a smoker?

Yes

No

Can you work with a smoker?

Yes

No

Can you work with cats?

Yes

No

Can you work with dogs?

Yes

No

Can you work with other pets?

Yes

No

Can you work in a home with stairs?

Yes

No

Are you willing to drive if a client needs transportation?

Yes

No

Do you have experience with lifting and transferring?

Yes

No

Do you have experience with Alzheimer's or Dementia

Yes

No

Do you have experience assisting with bathing and dressing?

Yes

No

Do you have experience assisting with personal hygiene needs?

Yes

No

Do you cook?

Yes

No

I certify that information contained in this application is true and complete. I understand that false information may be grounds for non-hire or for immediate termination of employment at any point in the future. I authorize the verification of any or all information listed above.

Date

Thank you for contacting us.

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Excellent Home Health Care And Consulting LLC (EHHCCS)

Home
About Us
Home Care Services
Careers
New Clients
Blog
Contact Us

Phone:

Licensed by IL

Licensed & Certified

Email:

info@ehhccs.com

Address:

9449 South Kedzie Avenue, Ste 148, Evergreen Park, IL 60805

Business Hours:

Mon - Fri: 9:00 am - 6:00 pm
Saturday: 9:00 am - 1:00 pm
Sunday: Closed

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