Apply for CBRF Resident Caregiver Position

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

Summary
Title:CBRF Resident Caregiver Position
ID:1138
Department:Healthcare
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Social Security Number:
* Email:
Attachments
Resume:
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Cover Letter:
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Application for Employment
PERSONAL INFORMATION
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CBRF employees who have successfully completed any or all of the four required courses (First Aid and Choking, Fire Safety, Medication Administration and Standard Precautions) are placed on the Wisconsin CBRF Training Registry at https://www.uwgb.edu/cbrf-registry/employee-registry/registry/. To be considered for a position with our Company, you must have all four on the registry.
  
  
  
  
  
  
  
  
  
  
EMPLOYMENT DESIRED
Full Time   Part Time   Seasonal
First shift (7:00 am - 3:00 pm)   Second Shift (3:00 pm - 11:00 pm)   Third Shift (11:00 pm - 7:00 am)
Yes   No
Yes   No
EDUCATION

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School 1

Yes   No

School 2

Yes   No

School 3

Yes   No

School 4

Yes   No

School 5

Yes   No
EMPLOYMENT HISTORY

Give your full employment record, starting with your current or most recent employment

Employer 1

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Employer 2

Yes   No

Employer 3

Yes   No

Employer 4

Yes   No

Employer 5

Yes   No
REFERENCES

Provide three references (not relatives).

Reference 1

*
*
*
*

Reference 2

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Reference 3

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AUTHORIZATION

The facts set forth in this application and any supplemental information are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.

Additional Questions
* What shift are you applying for?
**All Shifts include every other weekend)
1st Shift (7am-3pm)
2nd Shift (3pm-11pm)
3rd Shift (11pm-7am)
* If preferred shift is unavailable what shift would you be interested in? (DO NOT CLICK THE SAME SHIFT YOU ARE APPLYING FOR. IF YOU CAN ONLY WORK YOUR PREFERED SHIFT, CHOOSE THE LAST OPTION ON THIS LIST!!)
1st Shift (7a-3p)
2nd Shift (3p-11p)
3rd Shift (11p-7a)
Unable to work any other shift then preferred
* Status Preference?
Full-time (32-40 hours per week)
Part-time (16-32 hours per week)
I am open to whatever is open
* AHC has multiple locations in the Milwaukee area.  Which location(s) would you be interested in applying for?
This does not guarantee you will be offered a position at the location(s) you choose.
Congress Place - 9025 W Congress Street, Milwaukee, WI
Capitol Terrace - 4019 N 87th Street, Milwaukee, WI
Butler House - 12605 W Courtland Ave, Butler, WI
Bergen Manor - 522 W Bergen Drive, Fox Point, WI
* Do you have reliable transportation to/from work?
Yes
No
* Are you ON the CBRF Wisconsin State Registry for ALL 4 certifications (Fire Safety, First Aide/Choking, Medication Management, Standard Precautions)

If you are unsure, go to https://www.uwgb.edu/registry/employee-registry/registry/
Yes
No
* Are you a Certified Nursing Assistant (CNA).
Yes
No
* How much proven experience do you have working with individuals with Developmental Disabilities?
* Many of AHC residents display Challenging Behaviors which include but not limited to:

Verbal aggression
Refusing treatments, medications or cares'
Throwing items/breaking things
Self-injurious behavior (e.g. head banging, biting self, hitting self, cutting self)
Inappropriate sexual behavior
Wandering/eloping
Racial Slurs

If considered for this position, would you be able to properly re-direct these type of residents properly without taking these behaviors personal?
* How much proven experience working with individuals who display Challenging Behaviors such as the examples in previous question?
* Choose all of the following you have experience with:
Hoyer Lifts
Sit-to-Stand
Diabetes Management (administering insulin, checking blood sugars, etc.)
Toileting (changing undergarments, properly washing peri-area, etc.)
Vitals (blood pressure, weight, pulse ox, pulse, respirations, temperature)
Resident Transfers
Catheter Care
Special Diets (Puree, mechanical soft, ground up foods, etc.)
* Absolute Home Care has a Mandate Policy to ensure residents are provided with 24 hour supervised care. ALL OUR RESIDENTS REQUIRE 24 HOUR SUPERVISION (THEY CAN NEVER BE LEFT ALONE) SO IT IS VERY IMPORTANT THAT WE MAINTAIN THAT. BEING MANDATED MEANS THAT YOU ARE STAYING ANYTIME LONGER THEN TIME YOU WERE SCHEDULED FOR, WHETHER SOMEONE CALLS IN LAST MIN, DOESN’T SHOW UP, OR IS RUNNING LATE, WE REQUIRE THAT YOU STAY UNTIL COVERAGE IS FOUND. IF COVERAGE IS UNAVAILABLE YOU MAY HAVE TO STAY UP TO AN ADDITIONAL SHIFT. AFTER HAVE WORKED 16 CONSECUTIVE HOURS MANAGEMENT MAY RELIEVE YOU. THIS DOESN’T HAPPEN A LOT, HOWEVER, WE LIKE TO MAKE POTENTIAL EMPLOYEE’S AWARE AHEAD OF TIME PRIOR TO ACCEPTING A POSITION BECAUSE IT COULD HAPPEN, SO THAT OTHER OBLIGATIONS OUTSIDE OF WORK WOULD NEED TO BE TAKEN INTO CONSIDERATION PRIOR TO ACCEPTING A POSITION (BACK UP PLAN). THIS IS MANDATORY AND NO ONE IS EXEMPT OF THIS POLICY.

Would you for ANY reason leave any of our residents unsupervised due to mandating?
No, I would never leave residents in my care unsupervised at any time
Yes, I have other obligations after my shift and cannot stay, I am willing to take the risk in my CBRF license being revoked.
I am not sure, depends on the circumstances
* How did you hear about the position? If referred please name the referral source and name.
* Desired hourly pay?
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)
Individual with a Disability
An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
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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