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Employment Application

Join our team of compassionate caregivers

1 Personal Information

2 Position & Availability

3 Transportation

Reliable transportation is required to get to client homes. Having your own vehicle is preferred, as many cases include errands such as grocery shopping.

4 Education

5 Work Experience

List your most recent employer first. Include caregiving experience even if informal/unpaid.

Most Recent Employer

Previous Employer

Additional Employer (optional)

6 References *

Please provide three professional references (not family members). All three are required.

Reference 1 *

Reference 2 *

Reference 3 *

7 Skills & Experience

Check all areas where you have experience:

8 Additional Questions

Are you at least 18 years old?
Are you legally authorized to work in the U.S.?
I agree to a background check.
Have you ever been employed by Silver Home Care?

9 Accommodations

Silver Home Care provides reasonable accommodations to qualified individuals with disabilities. If you need accommodations during the hiring process, please contact us at (215) 486-1855.

10 How did you hear about us?

11 Certification & Signature

By signing below, I certify that:

  • All information provided in this application is true and complete to the best of my knowledge.
  • I understand that false or misleading information may result in termination.
  • I authorize Silver Home Care to verify the information provided and contact references.
  • I understand employment is contingent upon passing required background checks.
  • I understand this application is not a contract of employment.

Silver Home Care is an equal opportunity employer. We do not discriminate based on race, color, religion, sex, national origin, age, disability, or any other protected status.

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