Pre-Screening Application Contact Information Full Name Email Address Phone Number Full Address Town/City Check the appropriate box below: I am a New Applicant. I am a Current GSIL Employee. Select your objective below.---I'm looking for more hours.I would like to be added to the GSIL Registry and have read the registry Rules & Regulations.I'm looking for more hours and to be added to the GSIL Registry. I am a Former GSIL Employee. When were you employed? *I am interested in the following home care job openings: Position Specific Information Starting wage is $10.25/hr. Do you have any Personal Care experience? Yes No Do you have any experience with Personal Care equipment? Yes No Are you equally comfortable with male and female consumers? Yes No Are you comfortable in a smoking environment? Yes No Are you comfortable with pets, such as dogs and cats? Yes No Do you have any lifting restrictions? Yes No Criminal background checks and Bureau of Elderly and Adult Service checks will be performed on all applicants, per DHHS regulations. Will there be any findings on your background checks? Yes No If a position requires driving, do you have 100/300 Liability on Auto Insurance? Yes No How many hours are you looking for? Which days of the week are you able to work? Check all that apply. Sunday Monday Tuesday Wednesday Thursday Friday Saturday What hours would you be able to work? Check all that apply. Morning Afternoon Evening Please list specific towns you are willing to drive to. How did you learn about GSIL? FacebookCraigslistFriend/FamilyGSIL WebsiteNewspaperOther What is the best time to reach you? Click here to learn more about our Home Care Services.