Interested in joining our A Lira Eldercare Registry family?
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Employment Application

Please download the Employment Application above.  Print, fill, sign, and mail it to the address below, along with the following documents (copies are okay): 

1. Social Security Card
2. Green Card or Proof of Citizenship
3. Three References
4. Certificate of Training in Your Field
5. Malpractice Insurance Card (To obtain malpractice insurance, call Granite State at 800-221-4904)  

Mail Application & Information To:
A Lira Eldercare Registry
108 Crystal Ave
Staten Island, NY 10302

Or Fax to:
347-824-2838

Or Email to:
[email protected]