• Employment Application

    Employment Application

    Welcome to Visiting Angels!

  • Getting to Know You

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  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
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  • Current Address

  • Previous Address

  • Great! SC requires us to gather information to prove that someone is a resident of SC or another state. Before your first interview, you will be asked to provide that information. If you'd like you can upload it here or provide that to your intake coordinator / recruiter. We only need ONE of these to be provided for SC or the previous state that you lived in for 12 months.

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  • NY state requires the individual to acquire their own background check. While this is unlike other states, we wanted to make you aware of this in advance of hiring. 
  • If you do not have your on car, you cannot discuss any PHI (protected Health Information) during your ride to or from work. This would be a violation of HIPAA.
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  • Education, Certifications and Training

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  • We have 2 categories of caregivers, Companion and Home Health Aid. Here is the difference between the 2 categories. 

    Companion Home Health Aid
    Transportation Incontinence Care
    Companionship Bathing
    Light Housekeeping Bed Bound
    Running Errands Transferring, Lifts
    Pet Care Hands On Care
    Play Games Advanced Disease Management
  • Stating that you are a Home Health Aid category means that you both have the skillset AND the willingness to perform those tasks. Merely having the skills does not qualify you as a Home Health Aid, you need to be willing to accept clients at that level of care. This is a factor in considering pay scale.

  • Work History

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  • Required for background checking:

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  • What you're looking for in a new team:

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  • That's great new! Working weekends will definitely help to increase your pay! You MUST work weekends howeever to get  higher rate of pay.
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  • SC Dept of Public Health Required Training:

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    • ADL Training 
    • Basic First Aid 
    • Medication Assistance 
    • Alzheimer's Disease / Dementia 
    • Confidentiality, Abuse and Neglect 
    • Documentation and Record Keeping 
    • Ethics and Interpersonal Relationships 
    • Proper Lifting and Transferring 
    • Infection Control 

  • Emergency Contact

  • Next Step: Your First Interview

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