• Application

    Please complete the form below
  • Please send a copy of your driver's license to Shelby Smith at (256)605-6029. Thank you!

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  • Work History

    Please list all work history. Include the date of employment, position held, reason for leaving, and a phone number of the previous employer.
  • Personal References

    Please list at least 3 personal references. (One must have known you for at least 5 years). DO NOT list family members or duplicate work reference contacts.
  • Please include the name and phone number of each reference, as well as the years known. 

  • All of the above information is true to the best of my knowledge. I hereby authorize Prestige Homecare, LLC to request and recieve any information and records including, but not limited to, criminal background check, driving, and previous/present employment, from any corporations, individuals, association, agencies or departments.

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