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Certified Nursing Assistant Application

Is your CNA license active?
Yes
No
Are you 18 years old or older?
Yes
No
Do you have reliable transportation?
Yes
No
No you have a smart phone?
Yes
No
Are you a U.S. citizen or approved to work in the United States?
Yes
No
Would you consent to a random controlled substance test?
Yes
No
Have you ever been convicted of a felony?
Yes
No

Homemaker Application

Are you 18 years old or older?
Yes
No
Do you have reliable transportation?
Yes
No
No you have a smart phone?
Yes
No
Are you a U.S. citizen or approved to work in the United States?
Yes
No
Would you consent to a random controlled substance test?
Yes
No
Have you ever been convicted of a felony?
Yes
No

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