Online Employment Application

Personal Information - Step 1 of 4
Candidate Name:
Recruiter Name:
Position Applied for:
Date Submitted: i.e 1/01/2010
Work #:
Cell # :
Home:
Email:
Availability to Interview:
Schedule Conflicts :
(i.e. Planned vacations, extensive business travel)
Available Date To Start Working:
Would you be open relocation for this position?:
Source (Employee Referral/Agency?):
Are you legally authorized to work in the United States?:
(Canada if applicable)
Highest Level of Education attained:
Do you have any pending interviews and/or offers? :
Have you ever worked for or interviewed with PEAK LLC in the past? :
If so, for which position and what was the outcome?
Are you willing to travel?
If so, what percentage of the time?
Coming together is a beginning; Keeping together is progress;
Working together is success.

Why PEAK HCS

  • BATHING, GROOMING, & PERSONAL HYGIENE
    Respectful standby assistance when required and/or requested. Close monitoring of special occurrences/needs that may require medical attention. We understand that personal hygiene is an essential aspect of staying healthy.
  • ESSENTIAL ERRANDS
    Peak aides are happy to accompany clients to medical appointments and assist with occasional local errands.
  • FAMILY RESPITE
    PEAK Healthcare makes it possible for family caregivers to take time off worry free. We will handle everything so that you may attend to your own needs without having to feel the stress of getting back to your loved one who is home alone.