EmailMe Form - Instructions/ Directions - Office/ Interview

PLEASE READ CAREFULLY FOR INSTRUCTIONS
Home Instead Senior Care Rep *
Name of Caregiver interviewing *
Email of Caregiver interviewing *
Name of our agency
Exact Date of your interview *
MM / DD / YYYY
Day of Week *
Time of Interview *
(YOU MUST BE THERE 10 MINUTES EARLY BUT NOT MORE)
Please note that you will be interviewed to work for the following shifts you stated you are available to work *
Week-days (daytime)
Week-days (overnights)
Week-ends (daytime)
Week-ends (overnights)
Saturdays
Sundays
Flexible (all 7 days)
Information to bring
Scrubs/ Nurse's aide uniform
Trains - E or M or 6
Trains - 4,5,6 or N, W or R
Click here for a map of our office
Address
Telephone #
Lateness
Confirm this email by stating you received this to
Thank you!