Please fill out the form below to enquire about employment at Howard House First Name* Last Name* Email* Phone Number* Preferred Method of Contact* Email Phone Either Preferred Time of Day to be Contacted* Morning: 8am-11am Afternoon: 11am-3pm Evening: 3pm-7pm Do you have prior experience as a caretaker? If so, please describe.* Do you have a valid Driver’s License? * Yes No Are you able to lift 75lbs +?* Yes No We observe the following Holidays: Thanksgiving, Christmas, and New Year’s…Can you work 2 out of 3 of these days? Please write in the area below which ones.* Are you First Aid and/or CPR certified? If so, when does it expire?* Are you looking for Full-Time or Part-Time?* Full-time Part-time Either, full or part-time Can you cook?* Yes No Can you clean?* Yes No Are you willing to work overnight shifts from 11pm to 7am?* Yes No Do you currently have a work or school schedule to work around?* Yes No Are you comfortable working with males and females as a caregiver?* Yes No If you have a resume, you may upload it here (please upload a PDF, or when we contact you you can email it to us later) Upload 9 + 5 = ? SUBMIT