• Join The Halo Team

    Join The Halo Team

    "And whatsoever ye do, do it heartily, as to the Lord, and not unto men;" Colossians 3:23 (KJV)

  • Thank you for your interest in joining Halo Companions. We are seeking trustworthy, compassionate and dependable caregivers to provide high-quality, faith-centered care to our clients.

  • Please Note: This position is a 1099 Independent Contractor position and not a W-2 employee position. Contractors are responsible for their own taxes and must maintain a high level of professionalism and reliability.

  • Background check, drug screening, and TB (Tuberculosis) testing are required. Please complete this application in full.

  • SECTION 1: Do you understand this is a 1099 Independent Contractor position and not a W-2 employee position?*
  • Halo Companions is a faith-centered company that strives to serve clients with compassion, dignity, kindness, and respect. Are you comfortable working in a faith-based environment?*

  • SECTION 2: PERSONAL INFORMATION

  • Date of Birth:*
     - -
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Are you at least 18 years of age?*
  • Are you legally authorized to work in the United States?*
  • Sex:*
  • SECTION 3: DRIVER INFORMATION Do you have a valid drivers license?*
  • Do you have reliable transportation?*
  • Do you maintain current automobile insurance?*
  • How far are you willing to travel?*

  • SECTION 4: CERTIFICATIONS

  • Are you a Certified Nurse's Assistant:*
  • Are you CPR certified?*
  • Have you had a TB (Tuberculosis) skin test within the past 12 months?*

  • SECTION 5: CAREGIVING EXPERIENCE

  • Years of Caregiving Experience?*
  • Are you able to perform duties such as lifting, standing, and assisting clients as needed?*
  • Check all you can perform:*

  • SECTION 6: EMPLOYMENT HISTORY

  • Format: (000) 000-0000.
  • Start Date:*
     - -
  • End Date:*
     - -
  • Format: (000) 000-0000.
  • Start Date:*
     - -
  • End Date:*
     - -
  • Format: (000) 000-0000.
  • Start Date:*
     - -
  • End Date:*
     - -
  • Have you ever been terminated from a caregiving, healthcare, or customer service position?*
  • May we contact your previous employers?*

  • SECTION 7: AVAILABILITY

  • What type of work are you seeking?*
  • Are you available for overnight shifts?*
  • Are you available to work weekends?*
  • When are you available to start:*
     - -

  • SECTION 8: REFERENCES

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

  • SECTION 9: BACKGROUND SCREENING

  • Have you ever been convicted of a felony?*
  • Do you agree to a drug screening if hired?*
  • Do you consent to a background check?*

  • SECTION 11: FINAL QUESTIONS

  • SECTION 12: APPLICANT CERTIFICATION

  • Halo Companions maintains a ZERO-TOLERANCE policy for theft, fraud, abuse, neglect, exploitation, or misappropriation of client or company property.

    Any caregiver found to have engaged in theft, fraud, abuse, neglect, exploitation, falsification of records, or misappropriation of client or company property will be immediately removed from assignments, terminated from contract services, reported to law enforcement, and subject to civil and/or criminal prosecution to the fullest extent permitted by law.

    By signing below,

    I acknowledge that I have read, understood, and agree to comply with the policies and standards of Halo Companions if hired.

    I certify that the information provided is true and complete.

  • Date:*
     - -
  •  
  • Should be Empty: