United Hearts, LLC - Disability Is Another Form Of Diversity

United Heart’s mission is to connect, grow, and build a foundation uniquely specific to each individual we serve. We practice person-centered planning in all services we provide. We trust when hearts unite, any mission can be accomplished We believe when a connection is made, any level of progress can occur. Our passion is to accompany individuals each step of the way to gain and maintain their independence at their home and in the community.

Merle

Testimonial

Krista

Founder / CEO

Angie

ILS Specialist

Lawrence

IT Specialist

24 Hour Emergency

Individuals receiving 24-Hour Emergency Assistance may have daily phone contact and weekly physical meetings with professional staff.

IHS (Individualized Home Support without Training)

(formerly Adult Companion) Non-medical care, supervision, and socialization provided to a person age 18 or older.

Homemaking Support

Services that help a person manage general cleaning and household activities.

IHS (Individualized Home Support with Training)

(formerly ILS - Independent Living Skills) Services that develop, maintain and improve the community living skills of a person.

Waiver Types:

AC - (Alternative Care)
BI - (Brain injury)
CAC - (Community Alternative Care)
CADI - (Community Alternatives for Disabled Individuals)
DD - (Developmental Disabled)
EW - (Elderly Waiver)

United Hearts, LLC Resources

- Timesheets:
- Companion
- Homemaking
- ILS

- Additional:
- Direct Deposit
- NetStudy 2.0
- W-4

Kindly Complete Client Service Form Below:

Kindly Complete Application Form Below

A. General Information

Your Full Name:*

Date Field:*

Date Field:

Previous Last Name:

Street Address:*

City:*

State:*

Zipcode:*

Best Contact Number:*

(All persons , upon hiring, must verify eligibilty to be employed in the United States)

Are you a United States citizen or are you legally authorized to work in the United States?*

Do you have any relatives or friends working for this company?*

Give Name:

Have you ever worked for this before?*

Give Start Date:

Position Apply For:*

Referred By:*

Type of employment desired:*

B. Job Interest

Hourly Pay Rate Desired:*

Are you willing to transport?*

Date available to begin:*

Date available to begin:

Are you over 18 years of age?*

C. Education

High School

1a - Name & City, State:*

1b - Did you graduate?*

1c - List Diploma or Degree:*

College or University

2a - Name & City, State:

2b - Did you graduate?*

2c - List Diploma or Degree:*

Other Education

3a - Name & City, State:

3b - Did you graduate?

3c - List Diploma or Degree:

D. Personal References

First Reference

1a - Full Name:*

1b - City, State:*

1c - Best Phone Number:*

1d - Occupation:*

Second Reference

2a - Full Name:*

2b - City, State:*

2c - Best Phone Number:*

2d - Occupation:*

Third Reference

3a - Full Name:

3b - City, State:

3c - Best Phone Number:

3d - Occupation:

E. Your Employment History

First Employer

1a. Employer Name & City, State:*

1b. Department:*

1c. Supervisor's Name:*

1d. Supervisor's Title:*

1e. From:*

1e. From:

1f. To:*

1f. To:

1g. Salary:*

1h. Starting Position:*

1i. Ending Position:*

1j. Best Phone Number:*

1k. Fax Number:

1l. Job Title & Description of Your Duties:*

1m. Reason For Leaving:*

1n. May we contact?*

Second Employer

2a. Employer Name & City, State:*

2b. Department:*

2c. Supervisor's Name:*

2d. Supervisor's Title:*

2e. From:*

2e. From:

2f. To:*

2f. To:

2g. Salary:*

2h. Starting Position:*

2i. Ending Position:*

2j. Best Phone Number:*

2k. Fax Number:

2l. Job Title & Description of Your Duties:*

2m. Reason For Leaving:*

2n. May we contact?*

F. Special Skills & Qualifications

1.a Summarize Special Skills, Qualifications, and Civic, Social, or Professional Memberships:

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Your Best Email:*

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United Hearts LLC "Disability Is Another Form Of Diversity"

Twin Cities, Minnesota, USA

651-216-3312
855-435-1184
Krista@UnitedHeartsLLC.com
Monday - Friday 9am - 5pm CST

Disability Is Another Form Of Diversity

Staff