LeadingAge Virginia: Older Adult Services Job Placement Form

In light of the current COVID-19 situation, LeadingAge Virginia is developing a clearinghouse to match potential staff with member communities. We will be sharing information between aging services providers in need of assistance and individuals in need of employment. All skills and abilities are needed including food service, housekeeping, running errands, transportation, and other licensed positions.

To those who don't have licensure or certification to work in long term care: Emergency rules will be in place for individuals to work as direct care staff during this time if that would be a position of interest.

If you are in need of employment, there is a need for you! Please complete this form and your information will be shared directly with providers in your geographical area.

Thank you for your willingness to serve the aging community in Virginia!

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* 1. Contact Information

First Name

Last Name

Address

City/Town

State/Province

ZIP/Postal Code

County (or Incorporated City)

Email Address

Cell Phone Number

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* 2. Former Employer

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* 3. Skills (Max. 100 characters)

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* 4. Any license/Certification

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* 5. How did you learn about this resource?

Facebook

LeadingAge Virginia website

LeadingAge Virgina Daily COVID-19 Updates

E-mail from colleague, family, or friend

Other (please specify)