Please complete and submit this application below to be considered for a position as a caregiver. We will contact you for further details. Are you 21 years of age or older? *YesNoAre you able to lift 25 pounds? *YesNoDo you have reliable transportation? *YesNoPrimary InfoPlease provide your basic information by filling these fields below.First Name *Last Name *Email Address *Phone *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal CodeResumeChoose FileNo file chosenDelete uploaded fileMost Recent Employer/Company Name *Are you currently working for this employer? *YesNoIf yes, may we contact? *YesNoCity *State/Province *Company Phone *Employment Date From (mm/dd/yyyy) *Employment Date To (mm/dd/yyyy)DutiesReason for LeavingReferee detailsReferee 1Full NamePhone *Email Address *Best time of the Day to call *AMPMRelationship (No Relatives)Referee 2Full NamePhone *Email Address *Best time of the Day to call *AMPMRelationship (No Relatives)Additional DetailsSignature and CertificationSignature and CertificationThe information you provide in this application is used to evaluate your qualifications for employment with First Watch Care. Please note that this is not an employment contract. Ensure all questions are answered truthfully and completely. Any false or misleading information during the application or interview process may result in rejection of your application or termination of employment if discovered later. We are committed to providing equal opportunities to all applicants and employees, regardless of race, color, religion, sex, national origin, age, disability, or any other protected status under applicable laws. Certification By submitting this application, you confirm that you have read and understood the above information. You also certify that the answers and information provided are complete and accurate to the best of your knowledge. You acknowledge that any false information, omissions, or misrepresentations may lead to the rejection of your application or termination of employment. You authorize First Watch Care or its representatives to verify the information provided, including checks on criminal history and driving records, as applicable. Additionally, you agree to abide by company policies, including the prohibition of illegal drug use, and are willing to undergo drug screening if requested, as permitted by law. You understand that completing this application does not create a contract for employment.Signature *Date (mm/dd/yyyy) *Send Message