Home Instead - Skokie - Caregiver / Home Health Aide (Care Professional)

First name

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Last name

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Please enter a valid email address.

Phone number (Mobile preferred)

Please enter a valid phone number.

Are you 18 years of age or older?

Yes

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Are you legally eligible to work in the US?

Yes No

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Upload resume (Optional)

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Are you looking for a:

Full-time Position

Part-time Position

As Needed Shifts

Live-In Shifts

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Preferred Total Hours Per Week:

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Are you available to work on

Weekends

Holidays

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Do you have a Drivers License?

This is a mandatory field.

Do you have reliable transportation to commute to clients' homes within our service areas? Our service area includes Skokie, Evanston, Niles, Lincolnwood, Park Ridge, Glenview, Wilmette, Morton Grove, Des Plaines, Chicago, and surrounding North Shore / Far North Side communities.)

Yes No

This is a mandatory field.

Do you have any of the following certifications? (Select All that Apply)

CNA (Certified Nursing Assistant)

HHA (Home HealthCare Aide)

CPR/First Aid

CDP

Other

None

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If you hold an IL CNA license, please enter your Illinois CNA License #:

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If you selected "Other" above, please specify:

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Do you have previous paid caregiving experience?

Yes

This is a mandatory field.

If you answered yes to the prior question please do as follows:

Caregiving Experience & History

Please list your most recent caregiving positions below. You may include homecare agencies, private-duty clients, or facility employers.

Notice (Illinois Equal Pay Act): Per the Illinois Equal Pay Act, please do NOT include past wage, salary, or compensation history.

Most Recent Caregiving Experience

This is a mandatory field.

Employer/Organization Name:

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Dates Employed (From-To)

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Location (State) of Facility, Organization, Private Client, etc

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Supervisor or Primary Contact Name

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Supervisor/Primary Contact Number:

Please enter a valid phone number.

Supervisor/Primary Contact Email Address

This is a mandatory field.

Please list additional caregiving positions (Include Employer Name, Location, Dates, and Contact/Supervisor Phone #, Email Address):

This is a mandatory field.

If you have no paid caregiving experience, please list at least 2 employer references below (Include Employer Name, Dates, Role, and Contact Person/Phone., Email):

This is a mandatory field.

Are you willing and able to successfully complete a criminal background check and an in-office urine drug screen?

Yes No

This is a mandatory field.

List any specialized experience (e.g., Alzheimer’s/Dementia, Parkinson’s, Hospice, Bed-bound care):

This is a mandatory field.

Equal Employment Opportunity: This agency provides equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, veteran status, or any other protected classification under applicable federal, state, or local law.

Illinois Ban the Box Compliance: In compliance with the Illinois Job Opportunities for Qualified Applicants Act, the agency does not inquire into criminal history during the initial application process. Criminal background checks will only be conducted in accordance with applicable law.

Healthcare Worker Background Check Requirements: This position is subject to the Illinois Health Care Worker Background Check Act. Employment may be contingent upon successful completion of fingerprint-based criminal history checks and clearance through the IDPH Health Care Worker Registry.

Salary History: Pursuant to the Illinois Equal Pay Act, applicants are not required to disclose current or prior compensation or salary history.

Scope of Care & Compliance: Care Professionals may only perform duties within their approved scope of care, training, agency policies, client care plans, and Illinois Department of Public Health (IDPH) regulations.

Confidentiality: Employees are expected to maintain confidentiality and comply with all HIPAA and client privacy requirements.

At-Will Employment: If employed, employment will be at-will, meaning either the employee or the agency may terminate the employment relationship at any time, with or without cause or notice, subject to applicable law.

Reasonable Accommodation: Applicants requiring reasonable accommodation during the application or interview process should notify the agency.

Applicant Certification: I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that falsification, misrepresentation, or omission of information may result in disqualification from employment consideration or termination of employment.

Full Name/Signature of Authorization:

This is a mandatory field.

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Apply for Caregiver / Home Health Aide (Care Professional) in Skokie