Application | zephyrcares

First name

Last name

Email

Phone

Birthday

Address

Are you 18 years of age, can you provide required proof of your eligibility to work?

Yes

No

Are you a high school graduate?

Yes

No

GED

Have you lived out of Pennsylvania within the last 2 years

Yes

No

What Areas are you available to work in?

Do you have a driver's license?

Yes

No

What shifts can you work?

All positions require an Act 34 State Police Criminal History Clearance or FBI Record Clearance if you live or have lived outside of Pennsylvania within the last two years. Child abuse Clearance if working in a home with residing children 18 years of age

Have you ever been convicted of any crime?

Yes

No

If yes, please give date(s) and explain: (Felonies are prohibited according to State regulations)

Date available to work