Employee Request form. 


Here at American Safety Programs, we understand the pressure you are feeling with the COVID-19 Pandemic. We are committed to helping our partners in any way possible. We are polling our partners right now to find out what they need for staffing not just for CNAs but Med Techs as well as unlicensed staffing positions. 

We are also going to be coming out with a program to deliver food to your patients during this pandemic, allowing you to essentially “repurpose” your dietary staff to other useful roles during this public health emergency. 

Please fill out the form below and we will be sending you the contact information of people who are looking for employment. 

Please only list the number of CNAs needed.
Maintenance, Laundry, Activities, and Dietary.