aaa I am 18 years of age or older.* Yes No Thanks for your interest in working with Coast Family Home Care but Health Aides are required to be at least 18 years of age or older.I have a high school diploma or GED equivalency.* Yes No Thanks for your interest in working with Coast Family Home Care but Health Aides are required to have their high school equivalency or GED for employment. Please come back and apply if you ascertain these certificates in the future. I have a CA driver's License* Yes No Thanks for your interest in working with Coast Family Home Care but Health Aides are required to have their CA state driver’s License because we transport clients on the job. If you have a driver’s license from another state, please apply for a CA driver license and apply in person in our office located at 900 East Main, Ste.103, Santa Maria CA 93454I have car insurance* Yes No Thanks for your interest in working with Coast Family Home Care but Health Aides are required to be insured driver’s because we transport clients on the job. Please visit our office located at 900 East Main, Ste.103, Santa Maria CA 93454, with proof of car insurance to apply.I have my own transportation* Yes No Thanks for your interest in working with Coast Family Home Care but Health Aides are required to have their own transportation because we transport clients on the job.I am registered as a Health Aide with the State of CA.* Yes No If you are not a registered health aide and you have at least 1-2 years’ experience as a home health aide, then please come visit our office located at 900 East Main, Ste.103, Santa Maria CA 93454 and we will assist you with the registration process.Please enter your 10-digit Perm ID number.* I can pass a DOJ & FBI background check.* Yes No Thanks for your interest in working with Coast Family Home Care but Health Aides are required to pass a background check with the DOJ & FBI due to state law.I have 1-2 years of documented health aide experience* Yes No What experience do you have?*I have experience changing adult diapers* Yes No Thanks for your interest in working with Coast Family Home Care but Health Aides are required to know how to change adult diapers for this position.I have a flexible schedule including weekend availability.* Yes No What is your availability?*I have been TB tested within the last 90 days.* Yes No I can be TB tested within 7 days of hire.* Yes No Thanks for your interest in working with Coast Family Home Care but Health Aides are required to be TB Tested to work with clients.I can lift 50-75lbs.* Yes No Please explain why*I can drive 30 miles per day if needed.* Yes No Please explain why*I’m reliable, responsible and I call in ahead of time when I’m sick.* Yes No I am punctual (on time).* Yes No Thank you for responding to our pre-application. You qualify for an interview with a Coast Family Home Care Representative. Please fill out the following form to schedule an interview.Name* First Last Phone*Email* Select Best day for an interview*MTWTHFSelect Best time for an interview*9AM10AM11AM12PM1PM2PM3PM4PM