Employment Application

We Are Hiring Compassionate Caregivers

Thank you for your interest in joining Comfort Care Senior Care. We are committed to providing professional, dependable, and compassionate non-medical care to seniors in our community.

Please complete this application in full. Incomplete applications may not be considered.

PERSONAL INFORMATION

First Name

Last Name

Date of birth

Phone *

Email *

Address

Street Address

City

State

Country

Postal Code

POSITION DETAILS :

Position Applying For Options:

Employment Type

Available Start Date

TRANSPORTATION

Checkbox

I have reliable transportation

Driver’s License Number

State Issued

I Carry Valid auto insurance

CERTIFICATIONS:

Certification Numbers

BACKGROUND & LEGAL

Have you ever been convicted of a felony or misdemeanor?

YES

NO

Please explain if, Yes

Checkbox

I consent to criminal background screening

I consent to drug screening if required

I understand employment is at-will

I understand Alabama mandatory reporting laws

EXPERIENCE

Describe your caregiver experience

Why do you want to work in senior care?

REFERENCES

List Here

Signature

Clear

I certify that all information provided is accurate and I authorize Confort Care Senior Care to contact me regarding services.

By checking this box, I consent to receive non-marketing text messages from Comfort Care Senior Care about Joining our team. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others .from Comfort Care Senior Care at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

Comfort Care Senior Care is an Equal Opportunity Employer.