• Job Application - Home Sweet Home Cares & Services

    Home Sweet Home Cares & Services, PO Box 149, Macksburg, IA 50155 | hshiowacares@gmail.com | (641) 847-0638

  • PERSONAL INFORMATION

  • Format: (000) 000-0000.

  • EDUCATION INFORMATION

  • EDUCATION INFORMATION
    Rows

  • EMPLOYMENT HISTORY

  • Please list at least two of your work experiences for the past five years beginning with your most recent job held. If you were self-employed, give the company name. Email additional information directly to hshiowacares@gmail.com.

  • Format: (000) 000-0000.

  • PERSONAL REFERENCE INFORMATION

  • List two personal references. Do not list relatives or previous supervisors.

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

  • DRIVING INFORMATION

  • Do you have a vehicle?
  • Do you have a valid Iowa Driver's License and/or Chauffeur's License?
  • Do you have active auto insurance coverage?
  • Have you had any automobile accidents in the past three years?
  • Have you had any moving violations during the past three years?

  • AVAILABLE TO WORK:

  • When Are You Available to Work?
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  • Are you available to work holidays?
  • Employment desired:
  • Are you legally authorized to work in the United States?
  • Have you applied for Home Sweet Home Cares & Services, LLC before?

  • We cannot guarantee full-time employment. Overnight shifts are needed, especially with Clients on hospice care. Caregiver's who work overnights can sleep when the Client sleeps but needs to assist the Client when they wake up.

  • ADDITIONAL INFORMATION:

  • Select all caregiving duties and services you have hands-on experience performing.

  • PLEASE READ CAREFULLY APPLICATION FORM WAIVER.

  • In exchange for the consideration of my job application by Home Sweet Home Cares & Services, LLC (hereinafter called "the Company"), I agree that: Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of the Company, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President /General Manager of the Company. If employed, I understand that both the undersigned and the Company may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits. I also understand that (1) the Company has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations. I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act. I hereby release any and all prior employers or current employers from liability or claims arising out of the provision of information about my employment with such employer. I hereby waive any cause of action I might otherwise have against such employer arising out of the provision of information concerning my employment. I further understand that my employment with the Company shall be probationary for a period of sixty (60) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party. I CERTIFY THAT ALL ANSWERS GIVEN BY ME ARE TRUE, ACCURATE AND COMPLETE. I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract.
  • Date:*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Home Sweet Home Cares & Services, LLC is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. Your opportunity for employment with this Company depends solely on your qualifications. Thank you for your application and your interest in our business. 

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