ncschomecareservices@gmail.com
454 N Anderson Rd Suite 124, Rock Hill, SC 29730, United States
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Services
Child Care Services
Grooming
Feeding and Special Diet
Grocery Shopping
Mobility Assistance
Companionship
Medication Reminders
Laundry
Bathing and Hygiene
Nursing Services
Service Areas
Chester SC
Lancaster SC
Columbia SC
About Us
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Personal Information
First Name
Address 1
M.I
Address 2
Last Name
City
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Position Applying For
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SSN
How did you hear about us?
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Have you ever been convicted of a crime?
No
Yes
How long at this address ?
Transportation
Do you have a car?
No
Yes
Driver’s License #
If you don’t have a car how would you get to work?
Expiration
Availability
How many hours can you work weekly?
Are you available to work nights?
No
Yes
Sometimes
Are you legally authorized to work in this country?
yes
No
Would you consider live-in?
yes
No
Employment Desired
Full Time
Part Time
Full or Part Time
Are you available to work weekends?
Yes
No
Available to Start Date
Are there any times you are not available to work?
Education
High School
Name
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Level Completed
Degree
Major
College
Name
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Degree
Major
Bus.or Trade School
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