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. Δ The STAR Center is an Equal Opportunity Employer (EOE) and a Tennessee Drug Free Workplace.