Application for Employment

Please fill out the application for employment below and someone from Promise Care will be in touch with you.

Availability

Please enter your availability for each day. Use hours from and to, for example: 9am-2pm

Please describe as clearly as possible your education. Start with High School, including the name of your school, whether you graduated and when. Be sure to include information about trade or technical schools, college or any other education you have had.

References

List the names of three professional references that are not related to you.

Employment

Please list all present and past employment beginning with your most recent. For periods of unemployment over 3 months, please explain.

Please use the space above to tell us why you are interested in becoming a caregiver with Promise Care:

I authorize Promise Care, Inc. to request and receive from all prior employers, any and all pertinent information concerning my prior employment and its termination, including reasons for such termination. I state that all of the foregoing information I have supplied in this application is a true and complete statement of the facts. False statements contained in this application may be cause for dismissal. I further give my permission for this agency to verify all schooling and references, and to complete the necessary background checks.

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© 2008 Promise Care, Inc. 7760 France Ave South, Suite 1100, Edina, MN 55435 • 952.942.5676 • care@promisecareinc.com
An independent, licensed home care companion agency. Licensed by the Minnesota Department of Health, bonded and insured.
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