Care-A-Van Services

"Committed To Caring"

Request More Info

Click Here to fill out an online form for more information.

Apply For Services

Applicant's or family members may apply for services by completing our on-line referral form.

Give us Feedback

Click Here to tell us what you think about the website, The Comapny or our Service.

Contact Us

Telephone (575) 397-2801

Fax (575) 393-4132

Postal address:
2827 N. Dal Paso, Ste. 120
Hobbs, NM 88240

E mail

General Information: pdevans@zianet.com

Sales & Customer Support: iharrell@zianet.com

Care-A-Van Services Employment Application.

Complete the form below to apply for Employment At Care-A-Van Services.

Applicant Info

* First Name
* Last Name
* Middle Intitial
* Company Name
* E-Mail

Address
City
State
Zip Code
Daytime Phone
Evening Phone
DOB(mm/dd/yyyy)
Sex
ID NUmber


Position
What Position are you applying for?


Current Or Most Recent Employer Info
*Comapany Name
*Contact Name
*Title
* E-Mail

Address
City
State
Zip Code
Daytime Phone
Fax Number


Second Most Recent Employer Info
*Comapany Name
*Contact Name
*Title
* E-Mail

Address
City
State
Zip Code
Daytime Phone
Fax Number


Third Most Recent Employer Info
*Comapany Name
*Contact Name
*Title
* E-Mail

Address
City
State
Zip Code
Daytime Phone
Fax Number


List your qualifications for the position(s)) for which you applying:
*Qualifications

List Three references we may contact including phone numbers and relationships:
*References

High School Attended
*School Name
*Contact Name
*Title
* E-Mail

Address
City
State
Zip Code
Did You Graduate?:


College Attended
*School Name
*Contact Name
*Title
* E-Mail

Address
City
State
Zip Code
	Did You Graduate?:


Are you legally eligible for employment in the US?


When will you be available to work?
(mm/dd/yyyy)


Have you ever been convicted of a felony? If Yes, please explian:
*

	Do you have a Valid Drivers License?:

Terms: By submitting this application, I agree that the information contained herein is true, correct and complete and I understand that false, incomplete or misrepresented information will be sufficient cause for my application being rejected or if I am employed, cause for immediate termination of my employment, regardless of when discovered. I authorize the employer to contact and obtain information about me from my previous employers. I waive all rights and claims I may otherwise have against CARE-A-VAN, CARE-A-VAN representatives, my previous employers or their representatives for obtaining, providing or using such information. I understand that this application will expire in 30 days and that I must reapply after this time. I understand that this application is not an employment agreement and that if I do accept an offer of employment, that I will be employed at-will, which means that I may resign at anytime or the employer may terminate my employment at any time without cause and without notice. No one other than the Executive Director has any authority to enter into an employment agreement with terms contrary to the foregoing and must be in writing and properly signed to be valid.