iPad Giveaway 2023
SECTION 1 FOR HCA ONLY

PLEASE SELECT YOUR EMPLOYEE TYPE AT THE END OF EACH SECTION. *VERY IMPORTANT*

HCA’s who are interested in being selected can submit the application form by January15th.

Note: 1. Trainings completed on time for 2023 2. Evv less edits (following schedule perfectly) 3. Documents should be updated ID, DL, Vehicle Insurances. 4. Minimum employment 2 years. 5. Winners can reapply after 3 years

Email *
Enter your full name *
Enter your payroll ID *
Enter date of hire *
Select your branch name *
*
Please Type your supervisor name *
Note for HCA/WORKER
PLEASE SELF EVALUATE YOURSELF FAIRLY
How punctual turning in timesheets *
1 point
Safety measures at the client's home *
1 point
Oral communication with the Supervisor *
1 point
Completes In-service trainings on time *
1 point
Select your employee type *
Follow instructions of his/her Supervisor *
1 point
Job knowledge is good, follow plan of care efficiently *
1 point
Very cooperative with the staff *
1 point
Written communication with the Supervisor *
1 point
Trainings completed on time for 2023 *
1 point
Always answer Supervisor's call *
1 point
Rapport with the client *
1 point
Very punctual in clocking in and out *
1 point
Always take initiative on taking problematic clients *
1 point
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