Staff Hours Survey
Hidden
ABC CAREGIVING TEAM: How's your schedule?
Please answer the questions below regarding your work schedule.
Your Name:
(Required)
First
Last
What is your current position at ABC?
Home Health Aide / CNA
PC-Homemaker
Homemaker
Companion
Chore Worker
Live-in Caregiver
What hours do you currently work?
(Required)
Short Hourly Shifts
Long / Block Hours
When do you prefer to work?
check all that apply
Days
Nights
Weekdays
Weekends
Select All
Are you working the hours/schedule you want to work?
(Required)
YES
NO
Would you be interested in picking up OVERNIGHT SHIFTS?
YES
NO
What is your current availability?
(Required)
Fill in the days of the week and hours you'd like to be working for ABC.
Do you know someone who would make a great addition to our ABC Team of caregivers?
Refer a friend and you both can earn up to $1000!
Yes
No
We'd like to reach out and see if your friend wants to join our team of caregivers.
Name
First
Last
Phone
Have your friend go to www.abchhp.com/apply-online Have them put your name in the "who referred you" box! If they join our team, both you and your friend can earn up to $1000!
Additional comments you want to share?
Phone
Δ
