Potential Employee Application

Join Our Team

Are you a compassionate healthcare professional seeking a rewarding career? Join us at Care Texas Home Health Agency, where we prioritize excellence in patient care and employee satisfaction. We offer competitive compensation, comprehensive benefits, ongoing training, and a supportive work environment. Your expertise can make a lasting and significant impact on the lives of our patients, and together, we shape the future of healthcare. Apply today to become a valued member of our dedicated team.

Join Our Team

PERSONAL INFORMATION

Are you 18 yrs or older ?

Emergency contact number & phone

Are you a U.S citizen or alien authorized to work in the Unitted States ?

Yes No

If no, please explain:

Have you been convicted, plead guilty or deferred adjudication or probation for a crime within the past 7 years ?

Yes No

Have you been released from confinement following a conviction for any criminal offense within the past 7 years ?

Yes No

Are you presently charged with any violation of the law ?

Yes No

If you have answered yes to any of the proceeding three questions, please explain.

DESIRED EMPLOYMENT

Are you in interested in

Full time Part time PRN

Currently Employed ?

Yes No

Check your availibility

Days Evening Weekends only Weekdays only

We routinely contact an Applicant's Current Employer for reference cheeks. Would this pose any particular difficulty for you ?

Yes No

If yes, Please explain

Are you able to perform the essential functions of the position for which you are applying ?

Yes No

A position description which includes a description of the essential functions of the job is available in the Human resources Office and can be reviewed upon request.

Name & location of high school

No of years of attendent of your high school

Did you graduated from school ?

Subject studied of high school

Name & location of college

No of years of attendent of your college

Did you graduated from college ?

Subject studied of college.

Name & location of Trade, Business or Correspondence school

No of years of attendent of your Trade, Business or Correspondence school

Did you graduated from your Trade, Business or Correspondence school

Subject studied of Trade, Business or Correspondence school

PROFESSIONAL LICENCES AND/OR CERTIFICATIONS

Organization or State Issued

EMPLOYMENT HISTORY

Please list 2 previous employers for whom you have worked during the past five years beginning with your current employer. Please explain any lapse between employment dates. This section MUST be completed accurately. You may, in addition, use additional pages or submit a resume

Current/Last Employer

Superviser Name and Phone

SKILLS(Please check all the skills you currently posses)

I certify that all information given on this application is true, is correct and complete to the best of my knowledge.

I voluntarily give CARE TEXAS HOME HEALTH AGENCY, the right to thoroughly investigate my work, educational, and background history. I voluntarily give my former educators and employers the right to release these records in its entirety. I will hold no person or organization liable for giving or receiving information in any investigation.

If employed by CARE TEXAS HOME HEALTH AGENCY, I agree to abide by its rules and regulations. I understand that discovery of misrepresentation or omission of facts herein will make me ineligible for employment and be cause for immediate dismissal.

I understand that operating condition may require me to temporary work shifts other than the one for which I am applying and I agree to such scheduling change as directed by my supervisoror manager.

Fill out the form.

Make a Difference Every Day

Working at Care Texas Home Health Agency means you have the chance to impact our patients’ lives positively. Your dedication and expertise can bring comfort and healing to those in need, making every day on the job fulfilling and rewarding.

(281) 760 1903OrEmail Us Now

At Care Texas Home Health Agency, we understand there’s no place like home. That’s why we’re dedicated to providing top-notch home healthcare services that empower you and your loved ones to thrive comfortably in the familiar surroundings of your own home.

Make An Appointment

Who needs care?

Age

Gender

Male Female

Current living situation

Where will the care be provided?

Zip Code

How many hours of care are needed per week?

When would you like to start?

Your Name

Your Email

Your Phone