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Specialized Services Employment Application
Personal Information
First name:
Last name:
City:
Zip code:
Phone:
Email:
Application Information
Job position
Area
All areas
Desired Pay / Hour:
How many hours are you looking to work a week?
Do you have a valid California License to work as
—Please choose an option—
Yes
No
Are you fully vaccinated against COVID-19 or willing to get vaccinated?
—Please choose an option—
Yes
No
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?
—Please choose an option—
Yes
No
Do you have a valid California Driver’s License, ability to drive and access to a registered car with valid auto insurance?
—Please choose an option—
Yes
No
Which days are you available to work?
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
In which time frames are you available to work?
Mornings: 8:00am - 12:00pm
Afternoons: 12:00pm - 4:00pm
Evenings: 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
Monday
Tuesday
Wednesday
Thursday
Friday
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09:00 AM
09:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
01:00 PM
01:30 PM
02:00 PM
02:30 PM
03:00 PM
03:30 PM
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09:00 AM
09:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
01:00 PM
01:30 PM
02:00 PM
02:30 PM
03:00 PM
03:30 PM
—Please choose an option—
09:00 AM
09:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
01:00 PM
01:30 PM
02:00 PM
02:30 PM
03:00 PM
03:30 PM
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.
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