Deogratias Home Care
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Career

Employment Application

Download the official PDF application form or complete the same form online with secure e-signature and optional file upload.

Option 2: Apply Online

Complete the full online application below, provide your e-signature, and optionally upload your completed PDF/resume.

Start Online Application

Professional Home Health Care, Inc.

An Equal Opportunity Employer

Application for Employment

We do not discriminate on the basis of age over 40, race, sex, color, religion, national origin, disability, or any other applicable status protected by state or local law. It is our intention that all qualified applicant be given equal opportunity and that selection decisions be based on job-related factors.

Each question should be fully and accurately answered. No action can be taken on this application until all questions have been answered. Use blank paper if you do not have enough room on this application. PLEASE PRINT, except for signature on back of application. In reading and answering the following questions, be aware that none of the questions are intended to imply illegal preferences or discrimination based upon non-job-related information.

Position and Availability
Are you seeking employment?
Applicant Information
Eligibility and Background
Are you 18 years of age or older?
If hired, can you furnish proof you are eligible to work in the U.S.?
Have you ever applied here before?
Were you ever employed here?
Have you ever been convicted of any law violation (except a minor traffic violation)?

A "Yes" answer does not automatically disqualify you from employment, since the nature of the offense, date, and the job for which you are applying will also be considered.

Are you now or do you expect to be engaged in any other business or employment?
For Driving Jobs Only
Do you have a valid driver's license?
Have you had your driver's license suspended or revoked in the last 3 years?
Professional Activities

Exclude labor organizations and memberships which reveal age over 40, race, sex, color, religion, national origin, disability or other protected status.

Education
Type List Name and Address of Schools # of Years Completed Diploma / Degree / Certificate Subjects Studied
High School or GED
College or University
Vocational or Technical
Additional Qualifications
Upload and E-Signature