Apply for Personal Care Worker (PCW) – South Milwaukee, Cudahy & Oak Creek

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

Summary
Title:Personal Care Worker (PCW) – South Milwaukee, Cudahy & Oak Creek
ID:1015
Location:South Milwaukee, Cudahy, Oak Creek
Department:Client Services
Salary Range:N/A
Resume
* Resume:
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Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
* Date of Birth:
Attachments
Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
* Resume:
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Please upload or attach a copy of your resume.
* Driver's License:
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Please upload or attach a copy of your current and valid driver's license.
PCW Questionnaire - General
* Are you legally authorized to work in the United States?
Yes
No
* Do you have a valid driver's license and reliable, insured transportation?
Yes
No
* Can you commute to and from client homes in Metro Milwaukee?
Yes
No
Is there any part of Metro Milwaukee where you will not work?
* Have you ever been convicted of a crime, other than a minor traffic violation? (Note: A conviction will not necessarily disqualify you from employment.)
Yes
No
If you answered "yes" to being convicted of a crime, please explain.
* What is your availability? (e.g., full-time, part-time, specific days/hours)
* Can you work every other weekend?
Yes
No
* Do you have behavior health experience?
Yes
No
* Have you worked one-on-one with a client in their home providing personal care services?
Yes
No
* How many years of home health care experience do you have?
* Please describe your previous experience as a Personal Care Worker or in a similar caregiving role. Include the types of clients you have worked with (e.g., elderly, individuals with disabilities, post-operative patients).
* What specific personal care tasks are you experienced in? (Check all that apply):
Bathing and personal hygiene
The Bowel Routine
Dressing and grooming
Mobility assistance (transfers, ambulation)
Meal preparation and feeding assistance
Medication reminders
Light housekeeping and laundry
Companionship and social engagement
* Do you have experience with any of the following? (Check all that apply):
Dementia/Alzheimer's care
Hospice or palliative care
Caring for clients with quadriplegia or paraplegia?
Caring for clients with Multiple Sclerosis (MS)?
Caring for clients with behavior health issues?
Using transfer aids (e.g., Hoyer lift, sit-to-stand, slide board)?
* This role requires detailed record-keeping. Describe your experience with documenting client care and any electronic charting systems you have used.
* This role requires you to use your phone to log the time and location of your home health visits. Can you use your phone for this task?
Yes
No
* You arrive at a client's home and find them in a state of distress or agitation. How would you handle the situation?
* Why are you specifically interested in working for Professional Home Care Services, Inc.?
If you are applying to care for a specific client, please enter that client's name here.
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
I Choose Not to Respond
Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
I Choose Not to Respond
Veteran Status: (Please check all that apply)
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability.
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
I Choose Not to Respond

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