☎️ (301) 439 1810

📠 (301) 920 2092

1738 Elton Rd. Suite 120
Silver Spring, MD 20903
info@carepositive.com

¡Hablamos español, ¡contáctenos!

About Tashira Merritt

  • Social Security # or Tax I.D. 222 22 2222
  • Address: 22 2 St Silver Spring, MD 22222
  • Ethnicity/Race Black or African American
  • Veteran I don't wish to answer
  • Disabled I don't wish to answer
  • Education History

  • High School (Name & Location) McNair Academic High School
  • Number of Years Attended (High School) 4
  • Did you graduate? Yes
  • Number of Years Attended (College) 4
  • Did you graduate? Yes
  • Did you graduate? No
  • Employment Desired

  • Are You Currently Employed? Yes
  • Salary Desired 00
  • Date You Can Start Now
  • Ever Applied To This Company Before? No
  • General Information

  • Former Employers

  • Employer #1

  • Name & Address of Employer 1234
  • Start Date 12
  • Position 12
  • Supervisor Name & Title 12
  • End Date 12
  • Contact Number 12
  • Salary 12
  • Reason for Leaving 12
  • Employer #2

  • Name & Address of Employer - 2 12
  • Start Date - 2 12
  • End Date - 2 12
  • Position - 2 12
  • Salary - 2 12
  • Reason for leaving - 2 12
  • Employer #3

  • References (Non-Relative)

  • Reference #1

  • Name (Professional - 1) 12
  • Relationship/Title - 1 12
  • Phone Number - 1 12
  • Years Known - 1 12
  • Reference #2

  • Name ( Professional - 2) 12
  • Years Known - 2 12
  • Reference #3

  • Name (Other - Non-Relative) - 3 12
  • Pre-Screen Questions

  • Do You Have A Car? Yes
  • Do you have a valid Driver's License? Yes
  • Special Purpose Questions

  • List the dates your certifications were initiated 12
  • Do You Have a valid CPR and First Aid Certificate? Yes
  • Have you taken a physical within the past year to date? Yes
  • I understand and agree with the statement above? * Yes
  • Hepatitis B Declaration

  • Please Choose One Option. I have received the Hepatitis B Vaccine in the past and will provide the agency with documentation
  • Please enter your availability (Days of the Week & Times) 1212

Description

Our Mission

The Agency shall provide nursing care based on excellent nursing care standards established by the industry.  Care Positive will provide nursing services (RN,s, CMA, and Companions) for home care.  These services shall be of the highest quality, provided by the most competent, ethical staff in a cost-efficient manner.

Contact Info

10435 Edgefield Dr Adelphi, MD 20783

Phone: 1(301) 439 1810

Fax: 1(301) 920 2092

Web: https://carepositive.com