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Registry Recruitment

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Incorrect emails 0

Skipped emails 0

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Drag and drop csv file with emails

Registry Application Pre-screen

Please only apply if you are looking for work as a caregiver and would like your name referred out to IHSS Recipients in need of assistance.

🛑STOP: If you will be an IHSS Provider taking care of someone you know, such as a family member or friend, please exit and contact Provider Enrollment.

First Name *

Last Name *

Applicant Email *

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Please Confirm Email *

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Email Test

WARNING: Emails do not match, please ensure a valid and accurate email address.

1. Are you seeking assistance from the Registry to find IHSS clients or additional work? *

Yes

2. Are you legally authorized to work in the United States? *

Yes

3. Do you have a valid California driver’s license or photo ID? *

Yes

4. Are you available to work a set consistent weekly schedule? *

Yes

NOTE: A Department of Justice criminal background check is required to join the Registry.

5. Do you agree to complete a finger printing background check at your expense? *

Yes

6. Do you have (2) previous or current professional, academic, or references where you have worked/volunteered a minimum of 6 consecutive months? (cannot be friend or family member) *

Yes

7. The current rate of pay for IHSS Providers is $18.90 an hour, with time and a half overtime at 40+ hours a week (up to a maximum of 66 hours). Are you interested in submitting an application? *

Yes

Validation Field - Pass Prescreen?

API

Workflow Name

Status Code

Email Address: