In-Home Caregiver Application

"Being an in-home caregiver is about making a positive difference in another person's life.  I'd like to share a story with you...

"An old man walked up a shore littered with thousands of starfish, beached and dying after a storm.  A young woman was picking them up and flinging them back into the ocean.  'Why do you bother?' The old man scoffed.  'You're not saving enough to make a difference.'  The young woman picked up another starfish and sent it spinning back into the water.  She turned to the old man and said, 'I may not be able to save all these starfish, but I just made a difference to that one.'

"I invite you to make a difference every day with us at ComForCare."

 

Hayley Murray

Agency Owner of ComForCare, Indianapolis

First, I need some practical information from you...

First Name

Last Name

Email

Phone

Your Address

I have a high school degree or equivalent

I have a current driver's license

I have reliable transportation

I am at least 18 years old

I understand as a condition of employment I will be subject to a background check as well as drug testing

Regarding your background, is there anything you would like to make us aware of?

Are you looking for a full-time or part-time position?

When are you available to begin work?

Which days and times are you available to work?

Monday

Morning

Afternoon

Evening

Overnight

Tuesday

Morning

Afternoon

Evening

Overnight

Wednesday

Morning

Afternoon

Evening

Overnight

Thursday

Morning

Afternoon

Evening

Overnight

Friday

Morning

Afternoon

Evening

Overnight

Saturday

Morning

Afternoon

Evening

Overnight

Sunday

Morning

Afternoon

Evening

Overnight

Specifically, what time of day are you available to start and end work each day?

How did you hear about this job?

If you were referred to this position by a current employee, please tell us their name.

ComForCare is a Place to Belong and a Place to Become.

Regarding your work experience, what's most appealing to you? 

When do you know you've done a good job? 

I'd like to get to know you as a person so ... tell me your story.

Answer these five question mindfully and from your heart. Please write as much as you like, but answer with at least two sentences per question.

Why are you a caregiver... or want to become one?

Tell me of a time when you were there for someone who really needed you.

Relationships are the foundation of ComForCare

Think of the person who was most meaningful to you growing up.​ What made them special to you?

Caring is a work of heart

Please share one or two memories that you had with that person.

How can I help create a supportive and positive work experience for you?

A picture is worth a thousand words.

Please attach two pictures you would like to share.

Attach First Picture
Max File Size 15MB
Attach Second Picture
Max File Size 15MB

On a final note, tell me a little more about your work history...

Recent Job Title

Recent Employer

First Reference

List three people not related to you who have knowledge of your work performance within the last three years.

Name

Phone

Occupation

Number of Years Acquainted

Second Reference

Name

Phone

Occupation

Number of Years Acquainted

Third Reference

Name

Phone

Occupation

Number of Years Acquainted

Emergency Contact

Name

Relationship

Phone

Resume

If you have a resume you would like to share you can do so below... but it is not required.​

Attach Your Resume
Max File Size 15MB