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True CNA Connect — Home-Care Employer Candidate Request

Company Information

Company Name

Contact Person

Contact Person's Job Title

Business Phone

Business Email

Company Website

Business Address

Caregiver Needed

What type of caregiver are you looking for?

A
B
C

How many caregivers do you need?

What is the reason for the opening?

A
B
C
D
E

How soon do you need a caregiver?

A
B
C
D
E

Location and Schedule

County where the caregiver is needed

City and ZIP Code where services will be provided

Employment Type

Shift Needed

Days Needed

Expected Start Date

Candidate Requirements

Minimum Experience Required

A
B
C
D
E

Previous Experience Preferred

Skills or Experience Needed

Additional Candidate Qualifications

Pay and Transportation

Pay Rate or Pay Range Offered

Is reliable transportation required?

A
B

Is a valid driver's license required?

A
B

Employer Screening Requirements

What screening requirements does your company have?

Additional Screening Requirements

Position Details

Please provide any additional details about the position, client setting, schedule, duties, and caregiver qualifications you are seeking.

Employer Acknowledgment

True CNA Connect is a caregiver referral network operated by True Heart Training GA. We connect CNA and PCA candidates with employment opportunities. Submission of this request does not guarantee candidate availability, referral, placement, or hiring.

Employers are responsible for interviewing candidates and independently completing all required screening, credential verification, background checks, reference checks, and hiring procedures.

Referral services are subject to applicable agreements and applicable law.

Employer Acknowledgment

Authorized Representative

Authorized Representative Name

Signature

Please sign here

Date

Referral Fee & Payment Policy

TRUE CNA CONNECT REFERRAL FEES

CNA Referral Fee: $250 per candidate referral
PCA Referral Fee: $150 per candidate referral

REFERRAL PAYMENT PROCESS

When True CNA Connect identifies a candidate who is interested in the employer’s specific opportunity and the employer confirms that they would like to receive the candidate’s referral information, True CNA Connect will issue an invoice for the applicable referral fee.

The referral fee is due upon receipt of the invoice and must be paid in full before the candidate’s identifying contact information is released to the requesting employer.

Candidate identifying information will not be released until payment has been received and confirmed.

The referral fee is for the referral and connection service and is not contingent upon whether the employer ultimately hires the candidate.

Each candidate referral is treated as a separate referral and may be invoiced separately.

REFERRAL PROCESS

1. Employer submits a CNA/PCA candidate request.
2. True CNA Connect reviews the request and identifies a potential candidate.
3. True CNA Connect confirms that the candidate is interested in the specific opportunity.
4. Employer is notified that a candidate is available for referral.
5. True CNA Connect issues an invoice for the applicable referral fee.
6. Employer pays the invoice.
7. After payment is confirmed, True CNA Connect releases the candidate’s authorized referral information to the employer.
8. The employer conducts its own interview, screening, credential verification, background check, reference check, and hiring process.

Yes, I understand that the applicable True CNA Connect referral fee is due upon receipt of the invoice and must be paid in full before candidate identifying information is released to my organization.

Employer Authorization

I certify that I am authorized to submit this candidate request on behalf of the organization listed above. I understand that submitting this form does not guarantee candidate availability, referral, interview, or employment.

Job Title

Electronic Signature

Thank You!

Thank you for partnering with True CNA Connect. Our team will review your request and contact you regarding available CNA/PCA candidates and next steps.