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Comfort • Assurance • Respect • Encouragement

Join Our Amazing Team

We are always looking for the next Amazing Care Giver to join our team. Please fill in the application online.
––THANK YOU!

AmazingCare is an equal opportunity employer.
Please see Privacy Policy here.

Applicant Information:

* Indicates required field

Name *

First

Last

Address *

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City

State

Zip Code

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Email *

Home Number *

Mobile Number *

Please List All Languages that you speak. *

Match Criteria:

Please select checkboxes that match your
skills and preferences.

Certifications and Credentials:

Please check all that apply.

Please list any notes needed to explain your Certifications along with the expiration dates. *

Education & Training:

Select *

High School College Other

List Schools and Degree Received *

Employment History:

Employer *

Supervisor *

Phone Number *

Address *

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City

State

Zip Code

Country

Date Employed FROM *

Employed TO *

Employer *

Supervisor *

Phone Number *

Address *

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City

State

Zip Code

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Date Employed FROM *

Employed TO *

Professional References:

Please provide professional references.

Name *

Phone Number *

Additional Information:

What are your long-term dreams and aspirations? Please include both personal and professional goals. *

Position Applying for (Please be specific) *

Date Available *

Rate of Pay expected *

What shifts are you available? *

Are you able to provide proof of employment eligibility? *

Have you ever worked for Amazing Care, Inc. in the past or completed and application with our company? *

How did you hear about us? If current employee, please indicate. *

Please indicate years of experience in each of the following areas: Hospice, Dementia/Alzheimer's, Parkinson's, Multiple Sclerosis, Stroke, Cerebral Palsy. *

In the past 7 years, have you been convicted of a crime? *

Has your professional license or certification ever been investigated or revoked? *

Please list an emergency contact including name, address, phone number(s) and relation. *

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