Follow Your Passion
Peace at Homecare is always looking for compassionate caregivers to join our team
Our Values
Build positive life experiences
Deliver exceptional care with a tender heart
Restore peace to our
client's life
Apply to Caregiver Position
Current Address
Mailing Address (If Different)
Are You 18 Years or Older?
YesNo
Do You Have a Valid Driver's License?
YesNo
Are You Able to Use Your Own Car? *
YesNo
Are you able to use your own car to transport clients? *
YesNo
Are you a U.S. citizen or approved to work in the United States? *
YesNo
Do you have any reservations about working around cats, dogs, or other pets? *
YesNo
Are you employed now? *
YesNo
Have You ever been convicted of a criminal offense (felony or misdemeanor)? *
YesNo
Can you work overnight shifts? *
YesNo
Can you work weekends? *
YesNo
Education/Special Training
Certifications you have:
PCACNAHHALPN
Current and Past Employment (Please List Your Last Three Employers)
Employer 1
Employer 2
Employer 3
Please Give Two PROFESSIONAL References, Not a Friend or Relative:
Reference 1
Reference 2
Emergency Contact
“I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company’s rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company’s option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than it’s president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.”
Check this box to confirm the above certification:
PEACE AT HOMECARE IS A CONCIERGE, BOUTIQUE-STYLE COMPANION HOMECARE AGENCY AND A LICENSED AND BONDED CAREGIVER EMPLOYMENT AGENCY.
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