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A Leader in Home Care Since 1965

Greater Adirondack Home Aides is a non-profit home health care agency licensed by the NYS Department of Health to provide home care services to individuals in the community. GAHA was established in 1965 by a group of women who recognized a need in the community for assistance to the elderly in activities of daily living.

Call Us Today (518) 926-7070
in Saratoga Springs (518) 587-4379

About You

Date Required

First Name Required

Last Name Required

Street Required

Apt/Suite

City Required

Zip Code Required

Phone Required

Have you ever worked under another name

Yes

If yes, what name

New Section

Position Desired

Date you can start

Have you applied here before:

Yes

If yes, when?

Are you a NYS Certified PCA, HHA or CNA?

Yes

Education

High School

Location

Years Completed

College or Training

Location

Years Completed

Physical Record

Do you have any physical condition that may limit your ability to perform the job applied for (ie., Lifting 50-100 pounds)?

Do you meet the above physical requirements?

Yes

If no, explain

Legal Record

Have you ever been convicted of a misdemeanor or a felony? (Convictions will not necessarily disqualify an applicant from employment)

Been convicted of a misdemeanor or a felony?

Yes

If yes, for what crime?

If yes, please explain

Have you ever been excluded from, suspended or disbarred from or otherwise sanctioned by Medicare or Medicaid programs or any other federally funded programs?

Have you ever been excluded

Yes

Are you prevented from lawfully becoming employed in this country because of visa or immigration status?

Legal Immigration Status

Yes

A Leader in Home Care Since 1965

Apply Online

Mailing Address

Phone

In Saratoga

Fax

E-mail