Careers

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704-594-4633

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Careers

Home>Careers

We are in need of dedicated and skilled home care providers. If you wish to be part of our team, please send us your application using the form below.

* REQUIRED INFORMATION

DATE OF APPLICATION

LAST NAME

FIRST NAME

MIDDLE NAME

SOCIAL SECURITY NUMBER

ARE YOU OVER THE AGE OF 18?

Yes No

ADDDRESS

CITY

STATE

ZIP

HOME TELEPHONE NUMBER

CELL PHONE NUMBER

EMAIL ADDRESS

HAS YOUR DRIVER'S LICENCE SUSPENDED OR REVOKED

Yes No

ARE YOU A US CITIZEN ?

Yes No

ARE YOU AUTHORIZED TO WORK IN U.S ?

Yes No

HAVE YOU LIVE IN NORTH CAROLINA FOR THE PAST FIVE(5) YEARS

Yes No

ARE YOU ABLE TO PERFORM THE ESSENTIAL JOB FUNCTIONS OF THE POSITION FOR WHICH YOU ARE APPLYING WITH OR WITHOUT REASONABLE ACCOMMODATION?

Yes No

HAVE YOU EVER BEEN CONVICTED OF A CRIME, FOUND GUILTY, PLEAD GUILTY AND/OR PLEAS OF NOLO CONTENDERE EXCEPT FOR MINOR TRAFFIC VIOLATIONS?

Yes No

Choose The Last Grade Completed

College

NAME OF SCHOOL

ADDRESS OF SCHOOL

MAJOR COURSE STUDIED

GRADUATED OR DEGREE

Yes No

NAME OF SCHOOL

ADDRESS OF SCHOOL

MAJOR COURSE STUDIED

GRADUATED OR DEGREE

Yes No

AVERAGE GRADE

NAME OF SCHOOL

ADDRESS OF SCHOOL

MAJOR COURSE STUDIED

GRADUATED OR DEGREE

Yes No

AVERAGE GRADE

FIRST PERSON NAME

RELATIONSHIP

PHONE

SECOND PERSON NAME

RELATIONSHIP

PHONE

THIRD PERSON NAME

RELATIONSHIP

PHONE

COMPANY NAME

Phone

ADDRESS

SUPERVISOR

JOB TITLE

STARTING SALAY($)

RESPONSIBILITIES

FROM

REASON FOR LEAVING

MAY WE CONTACT YOUR PREVIOUS SUPERVISOR FOR A REFERENCE?

Yes No

COMPANY

PHONE

ADDRESS

SUPERVISOR

JOB TITLE

STARTING SALAY($)

ENDING SALARY ($)

RESPONSIBILITIES

FROM

REASON FOR LEAVING

MAY WE CONTACT YOUR PREVIOUS SUPERVISOR FOR A REFERENCE?

Yes No

COMPANY

PHONE

ADDRESS

SUPERVISOR

JOB TITLE

STARTING SALAY($)

ENDING SALARY ($)

RESPONSIBILITIES

FROM

REASON FOR LEAVING

MAY WE CONTACT YOUR PREVIOUS SUPERVISOR FOR A REFERENCE?

Yes No

DATE

Are you registered with the Family Care Safety Registry?

Yes No

Have you applied for a Good Cause Waiver?

Yes No

NAME

ADDRESS

CITY

STATE

Please select state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

ZIP

PHONE NUMBER(HOME)

SOCIAL SECURITY NUMBER

DATE OF BIRTH

PLEASE DISCLOSE ALL ALIASES AND SOCIAL SECURITY #’S USED BY YOU THE APPLICANT:

SOCIAL SECURITY NUMBER

DRIVER’S LICENSE NUMBER

NURSING LICENSE NUMBER

APPLICANT'S NAME

DATE

Contact Information

Service Areas Covered:
Cabarrus, Forsyth, Gaston, Iredell, Mecklenburg and Union Counties
Hours of Operation: 9:00am-5:00pm
Our Locations:
2020 Remount Road
Gastonia, NC 28054
Call Us Today!
Phone: (704) 594-4633
Fax: (704) 820-6710
lotsoflovehc@gmail.com

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( c ) 2020 L ot s Of L ov eHC

Home
About Us
Services
HomeCare
Qualifications
Gallery
Our Misson
Careers
InfectionControl
Contact Us

Home
About Us
Services
HomeCare
Qualifications
Gallery
Our Misson
Careers
InfectionControl
Contact Us