Employment Pre-Screening

We are always looking for mature and compassionate caregivers to join our Simply Home team.  Experience caring for the elderly or disabled adults is essential, although other caregiving experience may qualify.

Please complete the following questionnaire and submit.

1)         Name     Phone #

            City        State     

            Email   

2)         How did you hear about Simply Home Companion & Personal Care?

            Newspaper              Phone Book              Other

            Internet                    Friend                     

3)         Why are you interested in working for Simply Home?

4)         Are you currently licensed or certified as a healthcare provider in the State of Missouri?  Please list type and date.

5)         Please list your experience working with seniors or disabled adults including dates, duties, employer. 

6)         Have you provided any type of caregiving other than to adults? Please explain.

7)         Please list days and times you are interested in working.

Thank you for completing our pre-screen.  We will contact you within 48 hours.