Caregiver Application Name Email Phone City Have you ever been convicted of a felony? YesNo Do you have a high school diploma or equivalent? YesNo Do you have a social security card? YesNo Do you have a valid driver's license? YesNo Do you have current auto liability insurance? YesNo Additional Questions or Comments Please leave this field empty. ΔThe STAR Center is an Equal Opportunity Employer (EOE) and a Tennessee Drug Free Workplace.