Where innovative healing, teaching, and discovery come together.
Visit our Location
44 Varet Street, Brooklyn, NY
Give us a Call
(718) 388-0220
Hours
M-F: 9A-5P | On-call 24/7

    Personal Info

    Items with *asterisk are required

    Have you ever been known by any other name?
    YesNo

    Employment History

    Other than the employers listed above, have you ever had any other paid experience as a home care worker?
    YesNo

    Educational History

    Do you have a high school diploma or a high school equivalency?
    YesNo


    Other

    Are you legally eligible for employment in the United States?
    YesNo
    Are you 18 years of age or older?
    YesNo
    Are you able, with or without reasonable accommodation, to perform the essential functions of a home attendant
    (see job description)?
    YesNo

    PLEASE READ AND SIGN BELOW

    CABS Home Attendants Service Inc. is an Equal Opportunity Employer. As required by Federal, State and local law, CABS-HAS does not and will not discriminate against any applicant for employment or any employee based on an individual’s race, religion, creed, color, national origin, sex, sexual orientation, gender, age, ancestry, alienage or citizenship status, marital status, familial status, veteran status, disability (except when the disability is related to job performance), or any other characteristic.

    The facts set forth in my application for employment are true and complete. I understand that if employed, any false statement on this application may result in my dismissal. I understand that my social security number will be checked against both the Federal and State’s Medicaid exclusion databases to verify if I’ve been excluded/terminated from a Medicaid program. I further understand that this application is not and is not intended to be a contract of employment, nor does this application obligate the employer in any way if the employer decides to employ me. No one other than an officer of the company has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing and then only in writing and signed by an officer.

    **YOU WILL BE NOTIFIED OF THE STATUS OF YOUR APPLICATION VIA MAIL OR EMAIL, PLEASE PROVIDE OUR EMAIL ADDRESS.