Home Instead - Skokie - Scheduling Coordinator

First name

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Last name

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Phone number (Mobile preferred)

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Upload resume

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Address

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Disclosure: Home Instead requests your current legal address to accurately complete employment-related processes, including identity verification, applicable background screening, payroll and tax documentation, and other employment records. Providing your current legal residential address helps ensure that required screenings and employment documentation are completed accurately. This information will be used only for legitimate employment-related purposes.

Are you legally eligible to work in the US?

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Are you 19 years of age or older

Yes

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Are you able to lift 25 pounds?

Yes

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Do you have reliable transportation?

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Have you ever submitted an application here before?

Yes

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Are you able to perform the essential functions of the job for which you are with or without a reasonable accommodation?

Yes

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The job description for the position, is linked within the ad for which you have applied. Are you able to perform the essential functions of the job for which you are applying with or without reasonable accommodation?

Yes

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How do you know of us?

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If referred by an employee, please specify the name:

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This position is subject to state-mandated background checks (including fingerprinting and registry checks) and pre-employment drug testing. Are you willing and able to clear these required screenings prior to employment?

Yes No

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List your highest level of education:

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Include School Name, City/State, Major/Subject, Years Attended, and Graduation Status

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Professional Experience: Your application will not be considered unless all required fields in this section are answered. Correct telephone numbers for past employers are essential.

Company Name

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Are you currently working for this employer?

Yes

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City & State:

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Phone Number:

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May we contact this employer?

Yes

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Would you like to add information on a secondary employer?

Yes

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If answered yes, to the previous question, please answer all the information in the available text box.

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May we contact?

Yes

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Describe any work history or training you’ve completed related to senior care and service (if none can answer with N/A):

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Describe any extracurricular activities/honors/awards

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List any memberships in professional or job relevant organizations:

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Desired Compensation

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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:

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By submitting your application you authorize us to share your information with the Company posting the position and you agree to the terms of Workstream's Privacy Policy and Terms of Use, including receiving application updates and other offers from Workstream. You will receive a SMS confirmation message and one message per change in application status and appointment reminders. Reply HELP for help or STOP to opt out of short code SMS service. Message and data rates may apply.

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