Certified Medication Aide (CMA) : My Comfort Care, LLC Comfort Homecare, Home Agency

My COmfort Care has exciting new opportunities for Certified Medication Aides (CMAs).

My COmfort Care is conveniently located in the City of xxxxxx. We offer competitive pay, superb benefits, and top-notch amenities for our staff including on-site child care services, a fully equipped work-out room, relaxation room with massage chairs, walking trail and more! We are seeking candidates who will promote the values of Compassion, Inclusion, Integrity, Excellence, and Collaboration in their interactions and the care they provide our residents. If you wish to join a team where you will be valued and appreciated, Franciscan Villa is the place for you.

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(Please Fill Out Completely)

Part A : Personal Information

Title

First Name

Last Name

Home Address

Correspondence Email Address

Home Phone

Cell Phone

Work Phone

Date of Birth

May we contact you at work?

Are you a citizen of the United States?

If no, are you eligible to work in the United States?

If you are under age 18, do you have an employment/age certificate?

Have you ever been convicted of a misdemeanor or felony?

If yes, please explain the circumstances of the conviction.

Part B: Education and Training

High School Name

Dates Attended

Area of Study

High School Diplomat Received?

College Training School Name

Dates Attended

Area of Study

College Diplomat Received?

Professional trainings/ qualifications with dates and levels obtained

Part C: Present and Past Work History

Present or most recent Employer

Address of Employer

Dates

Position Held and Duties

Reasons for Leaving

Starting Salary

Ending Salary

May we contact the employer?

Part D: Work History

Employer

Address of Employer

Dates

Position Held and Duties

Reasons for Leaving

Starting Salary

Ending Salary

May we contact the employer?

Employer

Address of Employer

Dates

Position Held and Duties

Reasons for Leaving

Starting Salary

Ending Salary

May we contact the employer?

Part E: Supporting Statement

Please indicate all relevant experience, skills and work history that relate to the job description of which you have applied. Please print clearly. All illegible entries will not be considered. (Attach additional sheets if necessary)

Part F: Medical History

What absences due to illness have you had from work for the last two years?

Do you have any illness that will prevent you from performing the duties of the position of which you have applied??

If yes, please indicate

Can you lift a weight of seventy pounds?

Part G: References

Name

Relationship

Years of Affiliation

Phone Number

Name

Relationship

Years of Affiliation

Phone Number

Name

Relationship

Years of Affiliation

Phone Number

Part H: Attach Document

Attach Document

My Comfort Care is a residential care agency located in Maryland. My Comfort Care provides a wide variety of home care services in Maryland and the District of Columbia. our population are children, young adult and older adults.

Certified Medication Aide (CMA)

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