Work for HomeAides We are happy you are interested in employment at HomeAides. To get started quickly, Please submit your application here. You may then upload a resume. Give us a call on the next business day to verify that we got your application and make an appointment for a face to face interview. Step 1 of 4 25% Name* First Last Present Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern 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GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Secondary Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email Phone*CellAre you 18 years or older?*YesNoHave you ever applied with HomeAides, Inc before?*When?Are you legally authorized to work in the United States?YesNoAre you fluent in a language (other than English)?YesNoWhat language(s)?What brought you into HomeAides today?Website/internet lookupNewspaper adPh book lookupPast KnowledgeRadio AdReferralDo you have friends or relatives working for HomeAides?YesNoPlease list names AvailabilityAre you currently employed?*YesNoIf yes, Name of Employer:Are we able to contact your current employer?YesNoIf Yes, Please list contact name, contact's position and phone numberDate available for work*Salary/hr desiredNumber of hours/week desiredShifts Available to work 1st 2nd 3rd Are you available to work weekends?YesNoAre you available to work holidays?YesNoTransportation available to you*YesNoAre you willing to travel for work?YesNoNumber of miles willing to travelAreas where you can work (please select)Erie County Albion/Springfield Corry Erie Fairview Girard/Lake City Harborcreek Millcreek North East Union City Waterford Crawford County Cambridge Spgs Centerville Conneautville Meadville Saegertown Spartansburg Titusville Mercer County Greenville Grove City Hermitage Mercer Sandy Lake Sharon West Middlesex Venango County Barkeyville Cooperstown Franklin Oil City Polk Sugar Creek Utica Warren/Forest County Bear Lake Clarendon Tidioute Warren Youngsville Tionesta Marienville Butler County Butler Cranberry Mars Zelienople Grove City Lawrence County New Castle Please list any certifications you may have (i.e. Certified Nursing Assistant, CPR Certified)*How would you rate yourself on your experience with the following aspects of caregiving? 1 = No Experience 2 = Some Experience 3 = Good Experience 4 = Excellent ExperienceCompanionship1234Dressing/Grooming1234Meal Preparation1234Transferring1234Light Housekeeping1234Incontinence Care1234Bathing/Showering1234Shaving1234Dementia/Alzheimer's Care1234Do you consider yourself able to perform all the essential functions of the job for which you are applying for with or without accomodations?YesNoSummarize special skills and qualifications acquired from employment or other experiences that may qualify you to work with this company:Why do you enjoy working in home care?EducationHigh SchoolName/Location# of years attendedDid you graduate?Subjects studied or Degree attainedTrade/correspondence SchoolName/Location# of years attendedDid you graduate?Subjects studied or Degree attainedCollegeName/Location# of years attendedDid you graduate?Subjects studied or Degree attainedAdvanced Degrees & DatesName/Location# of years attendedDid you graduate?Subjects studied or Degree attainedHave you ever been convicted of any crime other than a minor traffic violation?*YesNoPlease List date(s) and details of each conviction:**You will not be denied employment solely because of a conviction record, unless the offense is related to the job for which you have applied. Employment History (most recent first)Your Previous Employers*DatesName/Address of EmployerPhone (required)Salary Pay RateDuties performedReason for Leaving Professional References (Supervisor)*NameWhere did you work with this individual?PhoneYears known(office use only) I CERTIFY that the information contained in this application is correct to the best of my knowledge, and I understand that any misstatement or omission of information is considered willful misconduct and is cause for ending the hiring process or termination of employment. I authorize verification of information provided on this application; and authorize the references listed above to give HomeAides all pertinent information concerning my previous employment; and release all parties from all liability for any damage that may result from furnishing the same to HomeAides. I further agree that either I or HomeAides may terminate my employment with or without cause and with or without prior notice, at any time. I understand that if hired, work hours are not guaranteed in any way but dependent on consumers/client needs and/or specific requests as well as case logistics. I understand that I will be required to submit to a drug test in accordance with HomeAides drug testing policy. I understand that I must submit to multiple background/clearance checks as a condition of employment with this company. Failure to submit to such a check will result in ineligibility for hire or my employment being terminated. HomeAides 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. We assure you that your opportunity for employment with HomeAides depends solely on your qualifications.Acceptance* I agree with the statement above. EmailThis field is for validation purposes and should be left unchanged.