Careers

Submit your application today and take the first step towards a rewarding career at Family Support Care LLC. We are constantly looking to expand our staff of dedicated professionals.

* = Required Information

Applicant Information
Date
Day / Month / Year
Full Name
Address (Street Address)
City
Apartment/Unit #
State
Zip Code
Phone
Email
Date Available
Month / Day / Year
Social Security No.
How long have you lived in Ohio?
Are you a citizen of the United States?
YesNo
Have you ever worked for this company?
YesNo
Have you ever been convicted of a felony?
YesNo
Education
High School
Address
From
Month / Day / Year
To
Month / Day / Year
Did you graduate?
YesNo
Diploma
College
Address
From
Month / Day / Year
To
Month / Day / Year
Did you graduate?
YesNo
Diploma
Military Service
Branch
From
Month / Day / Year
To
Month / Day / Year
Rank at Discharge
Type of Discharge
If other than honorable, explain
Employment Position Desired
Family Support Care is committed to maintaining a drug free workplace. We reserve the right to test all prospective employees. All employees are subject to random drug testing during employment, as well.
Do you have a valid driver’s license?
YesNo
Do you currently have car insurance?
YesNo
Do you have valid CPR/First Aid?
YesNo
Do you have a car?
YesNo
Are you currently employed?
YesNo
Do you have a H.S Diploma or G.E.D.?
YesNo
AVAILABILITY

Matrix

	SUNDAY	MONDAY	TUESDAY	WEDNESDAY	THURSDAY	FRIDAY	SATURDAY
AVAILABILITY1
AVAILABILITY2
AVAILABILITY3
AVAILABILITY4
AVAILABILITY5
AVAILABILITY6

If offered employment when will you be able to begin?
Do you have any objections to working weekends, Holidays or possible overtime?
Family Support Care LLC considers all applicants without regard to race, color, religion, gender, national origin, age, disability, sexual orientation or any other legally protected status.
Previous Employment
Company
Address
Phone
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
From
Month / Day / Year
To
Month / Day / Year
Reason for Leaving
May we contact your previous supervisor for a reference?
YesNo
Company
Address
Phone
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
From
Month / Day / Year
To
Month / Day / Year
Reason for Leaving
May we contact your previous supervisor for a reference?
YesNo
Company
Address
Phone
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
From
Month / Day / Year
To
Month / Day / Year
Reason for Leaving
May we contact your previous supervisor for a reference?
YesNo
Application Acknowledgement
Application Acknowledgement
I certify this application was completed by me and the entries contained in this application are true and complete to the best of my knowledge. I understand that any falsification, misrepresentation or omission of facts requested on application may be grounds for rejection of this application or dismissal from employment regardless of when or how discovered.
Application Acknowledgement2
I authorize an inquiry which will provide background information concerning general information, past work performance and my character. I authorize Family Support Care LLC to inquire also authorize and request each former employer, institution, persons, and law enforcement agencies to answer all questions which may be legally asked and release all information which pertains to this application for employment. I hereby release all parties from any liability for doing so. This authorization will be accepted with the same authority as the original.
Application Acknowledgement3
I understand that, if hired the required CPR, First Aid, and Medication Administration Courses will be offered at no cost to me. I also understand that I will not be paid for these courses as Family Support Care LLC is paying for me to take these courses. If employment ceases within the 90-day trial, the cost of the courses will be deducted from my final paycheck.
Application Acknowledgement4
I understand and agree that if hired employment is “at will”, that I or Family Support Care LLC may terminate the employment relationship at any time, for any reason with or without notice. If hired, I agree to comply with all the rules, regulations, and policies of Family Support Care LLC.
Application Acknowledgement5
I hereby acknowledge that I have read all the statements above and I understand each one of them listed.
Applicant's Name
Date
Month / Day / Year

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