Please Note: 

  • You must be 18 years or older to apply for a job with Stay at Home Personal Care.
  • All contact through the application process is done primarily by telephone. Please check your messages regularly.
  • Due to the high volume of applications we receive, we can only consider applications that are filled out completely. Failure to answer all questions may result in your application being rejected.

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including gender, race, color, age, sex, religion, disability, medical condition, national origin, or marital status.

Office Location

Personal Information

Section 1 - General Information

Section 2 - Employment Eligibility

Section 3 - Education

Section 4 - Other Training: Certifications/Licenses

Section 5 - Current Employer

Section 6 - Previous Employer

Section 7 - Previous Employer

Section 8 - Professional (Work) Reference 1

Section 9 - Professional (Work) Reference 2

Section 10 - Personal Reference

Section 12 - Getting to Know You

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial, criminal and other related matters as may be necessary for an employment decision. 

I hereby release employers, schools, or individuals from all liability when responding to inquiries in connection with my application.

In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.