Courteous Companion Care
Courteous Companion Care

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Courteous Companion Care LLC is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

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Applicant Information

Name
Address

Employment Position

Position(s) applying for:
How did you hear about this position?
What days are you available to work?
For example, from 9AM - 4PM or 5PM - 11PM
If needed, are you able to work overtime?
Do you have reliable transportation to and from work?
Can be your expected rate per hour, e.g. $25 or your expectation for the year. e.g. $35,000.

Personal Information

Have you ever applied to or worked for Courteous Companion Care LLC before?
Are you 18 years of age or older?
Are you a US citizen or approved to work in the United States?
Have you ever been convicted of a criminal offense (felony or misdemeanor)?

Job Skills/Qualifications

Note: Courteous Companion Care LLC complies with the ADA and considers reasonable accommodation measures.
Enter name of college/university. If more than one include the highest degree earned.
Address
Enter name of school or specialized training.
Address

Military:

Are you a member of the armed services?

Previous Employment

Address
For example, Jan 1, 2019 - Feb 1, 2023
Have more job history?

References

Please provide 2 personal and professional reference(s) below

Click or drag a file to this area to upload.
Click or drag a file to this area to upload.

AT-WILL EMPLOYMENT

The relationship between you and the Courteous Companion Care LLC is referred to as “employment at will.” This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Courteous Companion Care LLC. No representative of Courteous Companion Care LLC has authority to enter into any agreement contrary to the foregoing “employment at will” relationship. You understand that your employment is “at will,” and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company’s President.
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