Sara Companion Home Care Services

Sara Companion HomeCare Services – Caregiver Profile

Today's Date

Email Address (Mandatory)

Last Name

First Name

Languages Spoken

TYPES OF CASES / DAYS/ SHIFTS

Availability: Please be specific as to which types of cases you will accept.

Live-In Cases
Hourly Cases

Available Shifts/Days/Hours (Please write Yes or No and the time period you can work( i.e. NO or YES Monday 8A-1159A)).

Mondays AM from (start time) to (end time)

Mondays PM from (start time) to (end time)

Tuesday AM from (start time) to (end time)

Tuesday PM from (start time) to (end time)

Wednesday AM from (start time) to (end time)

Wednesday PM from (start time) to (end time)

Thursday AM from (start time) to (end time)

Thursday PM from (start time) to (end time)

Friday AM from (start time) to (end time)

Friday PM from (start time) to (end time)

Saturday AM from (start time) to (end time)

Saturday PM from (start time) to (end time)

Sunday AM from (start time) to (end time)

Sunday PM from (start time) to (end time)

1) I Will Work with Clients who Have Pets.

Yes
No

Name that will

2) Click on the types of pets that you are OK with in the home. Unless there is a special arrangement, caring for Pets is NOT the responsibility of the caregiver.

Dogs
Cats
Caged Pets

3) I am fine with working with a client that smokes.

Yes
No

4) I am trained to work with Clients who use a Hoyer Lift.

Yes
No
I would like a refresher

5) I have experience working with Alzheimer's and/or Dementia Patients.

Yes
No

6) I will work with a client who enjoys Indoor and Outdoor activities.

Yes
No

7) I will work with male clients.

Yes
No

8) I have allergies. I am allergic to:

No allergies
Pet
Food
Seasonal

If you have allergies, please list them all here. Thank you.

We Make the Difference:Quality, Passion, and Commitment is Our Approach Every DaySara Companion Website

Caregiver Availability and Preferences Profile