Apply to be a Home Health Aide

JOIN OUR TEAM
Apply today for a fulfilling career as an non-medical in-home health aide!

Are you empathetic, responsible, and eager to create close, lasting relationships with people in need of non-medical care? We offer a safe working environment with competitive compensation and rewarding opportunities to assist others in the comfort of their own homes.

RESPONSIBILITIES:

Companionship
Non-medical Personal Care
Light Housekeeping
Errands
Shopping
Non-medical Memory Care

BENEFITS:

Flexible Scheduling
Weekend Option
Team Atmosphere

APPLY NOW!

REQUIREMENTS:

Valid drivers license
Clean driving record
Proof of car insurance
Reliable transportation
Social security card

Birth certificate
Clean criminal history
Tuberculosis testing
Drug testing
Covid Vaccinations

TWO WAYS TO APPLY: Apply online below OR download application and return via mail or drop off to our office at:

In-Home Angels LLC
114 Sodom Lane,

Derby CT, 06418.

Application for Employment

Date

First Name

Phone

Last Name

Address

Are you 18 years of age or older?

Yes

Are you either a U.S. citizen or an alien authorized to work in the U.S.?

Yes

Have you ever worked or attended school under another name? If so, under what name?

Position Desired

Date You Can Start

Wage rate desired:

Hourly

Monthly

Annually

Do you prefer:

Full-time

Part-time

If part-time, hours per week desired:

Hours available to work:

Days of week available to work:

Check all you can work:

Weekends

Holidays

Nights

Overtime

Have you previously woked for In-Home Angels?

Yes

If so, dates of employment with In-Home Angels?

Reason(s) for leaving:

Former supervisor(s) at this company:

How did you learn about this opening?

Education

High School

Graduated?

Yes

Course of Study

Technical School

Graduated?

Yes

Course of Study

College/University

Graduated?

Yes

Course of Study

Post-Graduate Education

Graduated?

Yes

Course of Study

Other education, training or special skills

Skills

Typing Speed (WPM)

Are you experienced using a computer

Yes

Mac

What software programs are you capable of using?

Work Experience

Please list all previous employment, beginning with the most recent.

EMPLOYER #1

Employer Address

Date Range of Employment

Position Held

Supervisor's Name & Title

May we contact?

Yes

Description of duties

Starting Compensation

Final Compensation

EMPLOYER #2

Employer Address

Date Range of Employment

Position Held

Supervisor's Name & Title

May we contact?

Yes

Description of duties

Starting Compensation

Final Compensation

EMPLOYER #3

Employer Address

Date Range of Employment

Position Held

Supervisor's Name & Title

May we contact?

Yes

Description of duties

Starting Compensation

Final Compensation

References

Identify three persons who know your work, beginning with most recent.

REFERENCE #1

Name

Phone

Address

City, State, Zip

Position/Title

Years Known

REFERENCE #2

Name

Phone

Address

City, State, Zip

Position/Title

Years Known

REFERENCE #3

Name

Phone

Address

City, State, Zip

Position/Title

Years Known

Authorization and Acknowledgements

I affirm that the information I have provided in this application is true to the best of my knowledge, information and belief, and I have not knowingly withheld any information requested. I understand that withholding or misstating any information requested in this application is grounds for rejection of my application, and that providing false or misleading information in this application is grounds for discharge.

I authorize the company to verify my references, record of employment, education record, and any other information I have provided. Unless otherwise noted, I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers and all other persons and entities, from any and all claims, demands or liabilities arising out of or in any way related to such inquiry or disclosure.

Your Signature

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Thank you! We’ll be in touch.

JOIN OUR TEAM Apply today for a fulfilling career as an non-medical in-home health aide!

APPLY NOW!

Application for Employment

JOIN OUR TEAM
Apply today for a fulfilling career as an non-medical in-home health aide!