We are always looking for dedicated individuals to join our broad team of home health care staff.

Please download the application and fill it out. When you have completed it, you can email it to us at info@bettercareathomeservices.org or you can press the "upload button" and attach your file here. Thanks in advance and we look forward to you joining our team.

JOIN OUR TEAM

Phone Number: 901-832-7306

Fax Number: 901-310-3632

Upload

Max File Size 15MB

Come work with us

Full Legal Name

Current Residential Address: (Street, City, State, Zip)

Email

Primary Phone Number

Most Recent Position

Start Date

Month

Day

Year

End Date

Month

Day

Year

Birthday

Month

Day

Year

Emergency Contact Information: (Name, Relationship, Phone Number)

Are you legally authorized to work in the United States? (Yes / No)

Are you at least 18 years of age? (Yes / No)

Do you possess a valid driver’s license and reliable, insured transportation to get to shifts? (Yes / No)

Background Check Consent: Are you willing to submit to a comprehensive state and federal background check, fingerprinting, and pre-employment drug screening as required by Tennessee DDA and agency policy? (Yes / No)

Criminal History Disclosure: Have you ever been convicted of, or pled guilty/no contest to, any felony or misdemeanor involving abuse, neglect, exploitation, theft, or violence? (Yes / No) (If yes, please explain in detail).

Total Years of Caregiving Experience: (Select: Less than 1 year / 1-2 years / 3-5 years / 5+ years)

Previous Roles / Settings: Have you worked in group homes, assisted living facilities, private home care, or nursing homes? Please describe briefly:

Certifications: Please list all active certifications you currently hold: First Aid & CPR, Certified Nursing Assistant (CNA), or/and Direct Support Professional (DSP) Certification etc.

Are you comfortable working around pets, such as dogs, cats, etc. ?

Shift Preferences:

Day Shifts

Evening Shifts

Overnight

Weekends

Start Date: What is your earliest available date to begin working?

Please provide two professional references (former supervisors or managers who can speak to your reliability, compassion, and caregiving skills):

Reference 1: Name, Title, Relationship, Phone Number, Company Name

Reference 2: Name, Title, Relationship, Phone Number, Company Name

"I certify that all information provided is true and complete. I understand that false statements or omissions may result in application rejection or termination. I authorize Better Care at Home Services to verify all statements and contact references."

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Date

Month

Day

Year

Link to CV/LinkedIn

We are always looking for dedicated individuals to join our broad team of home health care staff.

Please download the application and fill it out. When you have completed it, you can email it to us at info@bettercareathomeservices.org or you can press the "upload button" and attach your file here. Thanks in advance and we look forward to you joining our team.

JOIN OUR TEAM

​

Come work with us