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Join Our Compassionate Care Team

At Grace & Dignity Home Care Services, we are always looking for compassionate, dependable individuals who are passionate about helping others. If you are dedicated to providing respectful and quality care, we would love to welcome you to our growing team.

Who We Are Looking For

We welcome applications from individuals who are:

• Compassionate and patient
• Reliable and responsible
• Passionate about helping others
• Experienced in caregiving or home support (preferred but not required)
• Strong communicators who work well with families and clients

Employment Application

Grace & Dignity Home Care Services is an equal opportunity employer. We consider applicants without regard to race, color, religion, gender, age, disability, or any other protected status.

Applicant Information

Full Name *

Address *

City/State/Zip *

Phone Number *

Email address *

Date of Applicaton *

Position Applying For *

Caregiver
Certified Nursing Assistant (CNA)
Homemaker
Companion Caregiver
Other

Employment Type Desired *

Full-Time
Part-Time
Per Diem / Flexible

Availability Days Available (Check all that apply) *

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Preferred Shifts *

Day
Evening
Overnight

Are you willing to work weekends? *

Yes
No

Education & Training (High School / GED): Enter School Name *

City/State *

Graduated? *

Yes
No

Certifications (Check all that apply) *

CNA
CPR / First Aid
Home Health Aide
PCA
Other

Work Experience, Job Responsibilities: Have you worked in home care before? *

Yes
No

Types of clients you have supported *

Seniors
Dementia / Alzheimer's
Disabilities
Mental Health
Hospice Support
Other

Tasks you have performed (check all that apply) *

Meal Preparation
Light Housekeeping
Laundry
Errands / Shopping
Personal Care Assistance
Companionship
Medication Reminders

Transportation: Do you have a reliable transportation? *

Yes
No

Valid Driver's License? *

Yes
No

Are you willing to undergo a background check? *

Yes
No

Have you ever been convicted of a crime that would affect your ability to work in caregiving? *

Yes
No

If yes above, please explain *

Professional References at least 2 *

Applicant Statement *

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that false statements may result in disqualification from employment or termination.
I authorize Grace & Dignity Home Care Services to verify my employment history, education, and references.

Applicant Signature (Upload your signature *

Date *

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