Careers

Application for Employment

Are you looking for a rewarding career in home care? Look no further than AC1 Homecare! We provide top-quality care for our clients and offer a fulfilling work environment for our employees. We are always on the lookout for compassionate and dedicated individuals to join our team.

We do not discriminate based on age over 40, race, sex, color, religion, national disability, or any other applicable status protected by state or local law. We intend that all qualified applicants 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. In reading and answering the following questions, be aware that none of the questions are intended to imply illegal preferences discrimination based upon non-job related information.

First Name

Last Name

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Job applied for :

Which are you seeking

Full-time

Part-time

Temporary

When can you start work?

Birthday

Social Security #

Have you ever been convicted of any law violation (except a minor traffic violation)? Yes/No? If yes please explain below

Are you now or do you expect to be engaged in any other business or employment? yes/No? If yes please detail below

Do you have a valid drivers license?

Yes

Driver's License Number, State of License and Class

List your education (High School, College, Trade School etc.) below

List any professional, trade, business or civic activities and offices you have held below.

Upload Your Resume

Upload File

Employee Availability

Type of transportation you have/ will use for home visits

Do you have any allergies that will affect your work? Yes/No? If yes please explain below

Do you have a problem working with a client who smokes?

Yes

What days and times of the week are you available?

Professional References

Please enter (2) professional references below (include, their name, phone number, email and company)

Your Signature

Thanks for submitting! We will be in touch

Careers

Application for Employment

Are you looking for a rewarding career in home care? Look no further than AC1 Homecare! We provide top-quality care for our clients and offer a fulfilling work environment for our employees. We are always on the lookout for compassionate and dedicated individuals to join our team.

Employee Availability

Professional References

Contact

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