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Specialized Services Employment Application

    Personal Information

    First name: Last name:
    City: Zip code:
    Phone: Email:

    Application Information

    Job position Area
    Desired Pay / Hour: How many hours are you looking to work a week?
    Do you have a valid California License to work as
    Are you fully vaccinated against COVID-19 or willing to get vaccinated?
    What language(s), other than English, do you know (at least conversational)?
    Are you willing to drive from home to home to provide the services in the assigned area?
    Do you have a valid California Driver’s License, ability to drive and access to a registered car with valid auto insurance?
    Which days are you available to work?SundayMondayTuesdayWednesdayThursdayFridaySaturday
    In which time frames are you available to work?Mornings: 8:00am - 12:00pmAfternoons: 12:00pm - 4:00pmEvenings: 4:00pm - 8:00pm
    What cities are you comfortable driving to?
    Resume

    Availability
    If you were to continue with the recruitment process, when it's the best time to have a 30-min interview via Zoom?
    Please select a day and at least one time
    MondayTuesdayWednesdayThursdayFriday
    If you were to obtain the position, when would you be available to begin?
    Select the date using the calendar icon

    Please Note:
    Optima will consider qualified applicants with criminal histories in a manner consistent with the Los Angeles Fair Chance Initiative for Hiring.
    We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing a medical examination, and to skill and agility tests.)
    We may refuse to hire relatives of present employees if doing so could result in actual or potential problems in supervision, security, safety, or morale, or if doing so could create conflicts of interest.