DSP & Caregiver Jobs in Northern Virginia

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Applicant Information

Which position(s) are you applying for? *

Applying - DSPDirect Support Professional (DSP)Applying - PCAPersonal Care Aide (PCA)Applying - CNACertified Nursing Assistant (CNA)Applying - Medication AideMedication AideApplying - LPNLicensed Practical Nurse (LPN)Applying - RNRegistered Nurse (RN)Applying - Behavioral SupportBehavioral Support StaffApplying - House ManagerHouse ManagerApplying - Office AdminOffice / Administrative Staff

First name *

Last name *

Middle name

Date of birth *

Street address *

Apartment, suite, unit (optional)

City *

State *

ZIP *

Phone *

Secondary phone

Email *

Emergency Contact

Full name

Relationship

Phone

Resume & Cover Letter

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Max file size 10MB.

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Upload your cover letter (optional)

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Eligibility & Availability

Are you legally authorized to work in the United States? *

YesNo

Are you 18 years of age or older? *

YesNo

Employment type sought

Employment Type - Full-timeFull-timeEmployment Type - Part-timePart-timeEmployment Type - PRNPRN / As-needed

Shifts you're available to work

Shift - DaysDaysShift - EveningsEveningsShift - OvernightsOvernightsShift - WeekendsWeekendsShift - HolidaysHolidays

Earliest available start date

Desired hourly pay

Do you have reliable transportation? *

YesNo

Do you have a valid driver's license? *

YesNo

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Experience & Qualifications

Highest level of education

Years of caregiving / DSP experience

Relevant certifications (check all that apply)

Cert - CPR First AidCPR / First AidCert - CNACNA LicenseCert - Medication AideMedication Aide CertificationCert - DSP TrainingDSP TrainingCert - TB TestCurrent TB Test / PPDCert - None YetNone yet

Most Recent Employment

Employer name

Job title

Employment dates

May we contact this employer?

YesNo

Briefly describe your experience supporting individuals with disabilities

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Background & References

Virginia DBHDS requires a criminal background check and fingerprinting for this role. Are you willing to complete these? *

YesNo

Have you ever been convicted of a crime? (A conviction does not automatically disqualify you from employment.)

YesNo

If yes, please provide details

Professional References

Reference 1 name

Relationship

Phone

Reference 2 name

Relationship

Phone

How did you hear about us?

Certification

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any false statement or omission may disqualify me from employment or result in dismissal.

Signature (type your full name) *

Date *

Consent CertifiedI confirm the above certification and consent to be contacted about my application. *

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Applicant Information

Emergency Contact

Resume & Cover Letter

Eligibility & Availability

Experience & Qualifications

Most Recent Employment

Background & References

Professional References

Certification

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