* Required Information

Please complete all requested information. Applicants may be asked to provide additional information on separate forms. This application will be kept on an active status for a period of 6 months. it is the applicant’s responsibility to periodically check and update their application. All applicants will be required to complete this employment application to be considered for an open position with Sincere Home Care. A resume will not substitute for a completed employment application. SINCERE HOME CARE IS AN EQUAL OPPORTUNITY EMPLOYER. WE ENCOURAGE ALL QUALIFIED INDIVIDUALS TO APPLY FOR EMPLOYMENT.

Applicant Information

Employment Desired

Professional References


Former Employers

I hereby authorize Sincere Home Care (SHC) to thoroughly investigate my background, references, employment record and other matters related to my suitability for employment. I authorize persons, schools, my current employer, (if applicable) previous employers and organizations contacted by SHC to provide any relevant information regarding my current and/or previous employment. I understand that misrepresentation or omission of facts may result in rejection of this application, or if hired, discipline up to and including dismissal. I understand that nothing contained in this application, conveyed during any interview which may be granted, is intended to create an employment contract. I understand that filling out this form does not indicate there is a position open and does not obligate SHC to hire me. I understand and agree that my employment is at will, which means that it is for no specified period and may be terminated by me ore SHC at any time without prior notice. If for any reason, I terminate my employment willingly, I understand that I am required to submit a two-week notice prior to termination.

Home Health Care Questionnaire

Using complete sentences, please answer the following questions about the following scenarios

Select a country first.