Join Our Team

A Promise and a Purpose Home Care LLC is always looking for compassionate, reliable caregivers who believe in treating every client like family. If that sounds like you, we’d love to hear from you.

Pre-Hire Application

Please fill out the application below as completely as you can. For your security, we don’t collect Social Security numbers online — that information is only ever collected in person. References and any criminal history disclosure should be included with your attached resume rather than typed into this form.

Personal Information

Full Name

Phone Number

Email Address

Mailing Address

City

State

ZIP Code

Languages Spoken (other than English)

Emergency Contact

Name

Relationship

Phone Number

Position Information

Position Applying For

Date Available to Start

Employment Type

Desired Hours per Week

Work Eligibility

Are you legally eligible to work in the United States?

If applicable: Do you have a Green Card?

Has your visa expired?

Training & Experience

Do you currently hold any caregiver or healthcare certifications?

If yes, where were they obtained?

Have you worked in home care before?

If yes, where?

Are you currently employed?

If yes, where?

Employment History

Please provide your most recent employers, up to three. Leave any you don't need blank.

Employer 1

Employer Name

Job Title

Address

Supervisor

Phone Number

Start Date

End Date

Starting Salary (optional)

Final Salary (optional)

Reason for Leaving

Employer 2

Employer Name

Job Title

Address

Supervisor

Phone Number

Start Date

End Date

Starting Salary (optional)

Final Salary (optional)

Reason for Leaving

Employer 3

Employer Name

Job Title

Address

Supervisor

Phone Number

Start Date

End Date

Starting Salary (optional)

Final Salary (optional)

Reason for Leaving

Education

High School

College

Other Education or Training

Course of Study

Years Completed

Graduation Date

Military Service

Optional.

Branch of Service

Dates of Service

Highest Rank

Currently in Reserve?

Special Training or Duties

Licenses & Certifications

Attach any additional certifications to your resume if you need more room.

License / Certification 1

License or Certification

License Number

State Issued

Expiration Date

License / Certification 2

License or Certification

License Number

State Issued

Expiration Date

A Few Questions

What would you do if you arrive at a client's home and they refuse to let you in?

What would you do if a client fell but insisted they were okay and asked you not to call for help?

How long is it appropriate to keep a client's paperwork in your possession?

How do you feel about being scheduled to work with a client at 8:00 PM?

How would you respond if your supervisor issued you a written warning?

Resume

Please attach your resume. Include your references and any criminal history disclosure on the resume itself — we don't collect those as separate fields here. Social Security numbers are never collected online; that's handled in person only.

Attach Resume (PDF or Word document)

Almost Done

How did you hear about us?

Anything else you'd like us to know?