Apply for CAREGIVERS - Weekend

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:CAREGIVERS - Weekend
ID:1009
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone xxx-xxx-xxxx:
* Email:
Opt-In Confirmation
By submitting this application, I consent to receive SMS updates from Lipford Home Care at 8335542595 regarding my employment application. My information will not be shared or used for any other purposes. This application is powered by ApplicantStack on behalf of Lipford Home Care. SMS messages will only be sent by Lipford Home Care and are used exclusively for hiring-related communications when you have subscribed to receive SMS communications.
LHC Online Application 2026
* How did you hear about Lipford Home Care?
If you are responding to a job posting on Indeed.com, please list the specific job posting you are interested in.
* Are you 21 years of age or older?
Yes   No
* In what cities (areas) are you willing to work? Select ALL that apply.
Central (Homewood, Hoover, Vestavia, Mountain Brook)
North (Gardendale)
West (Bessemer, McCalla)
East (Trussville)
South (Alabaster, Pelham)

Schedule

* Shifts available:
Days
Evenings
Overnight
Weekends
Short Shifts (4 hours)
Short Notice
* Days of week available:
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Additional comments about your availability:

Transportation

* Do you have an automobile?
Yes   No
* Do you have a driver's license?
Yes   No
* Do you have automobile insurance?
Yes   No

Experience

* Do you have at least two (2) years experience working with older adults?
Yes   No
* If so, how many years of caregiving experience do you have?
* Are you working now?
Yes   No
If Yes - where are you working?

Previous Employment
(List last 2 positions with most recent first)

* Employer/Client Name:
* City/State:
* Job Title:
Month/Year Started:
Month/Year Ended:
* Reason for Leaving:
Employer/Client Name:
City/State:
Job Title:
Month/Year Started:
Month/Year Ended:
Reason for Leaving:
* Are you able to perform the essential functions of a Caregiver without limitations?
Yes   No
If No, please explain:

Background

* Are you a citizen of the United States?
Yes   No
* Are you authorized to work in the United States?
Yes   No

LIPFORD HOME CARE requires a thorough Criminal Background Check and drug screen.

* Have you ever been convicted of a felony or misdemeanor?
Yes   No
If Yes please explain.

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