Careers

Join Our Team

Promedcare is always looking for experienced and qualified care professionals to provide care and support to our clients and their families.

Complete the form below to be considered for a position with Promedcare.  Or you can download the form and submit it to either of our store locations!

First Name
Last Name
Address
Address Line 2
City
State
ZIP
Email
Home Phone
Cell
Languages




Skills




Level 1


CompanionshipCooking / Meal PreparationLight HousekeepingOut of Home ActivitiesCar/ TransportationDr. Apt. /Errands/ShoppingLight ExerciseMonitor/WanderingMed Reminders

Level 2


FeedBath/Shower/SpongeDress / GroomAmbulationCane/Walker/WC/ScooterToiletingGait BeltFall Risk

Level 3


Feeding TubeTransfersHoyer LiftIncontinenceColostomy CareDementia/AlzheimersWound CareHospice CareBed Bound

Ok with PetsOk with SmokingWill workLive In shiftsHas own car
Max Client Weight for Transfers




Certifications and Credentials

Please check all that apply, and enter the expiration date and any note as applicable.




Active Type
Expiration Date
Notes
Car Insurance
Chest X-Ray
CNA License
Drivers License
First Aid Certification
CPR Certification
HHA Certification
Registered Nurse
Passport
Performance Evaluation
State ID Card
Tuberculosis Test




Education and Training




High School
Name of School
Graduating Class
College
Name of School
Degree Received




Employment History




Employer 1

Employer
Phone Number
Supervisor
Phone Number
Address
Address Line 2
City
State
ZIP
Start Date
End Date I currently work here
Title
Salary








Employer 2

Employer
Phone Number
Supervisor
Phone Number
Address
Address Line 2
City
State
ZIP
Start Date
End Date I currently work here
Title
Salary








Employer 3

Employer
Phone Number
Supervisor
Phone Number
Address
Address Line 2
City
State
ZIP
Start Date
End Date I currently work here
Title
Salary




Professional References




Reference 1

Name
Relationship
Phone Number (Home)
Cell
Best Time to Reach








Reference 2

Name
Relationship
Phone Number (Home)
Cell
Best Time to Reach








Reference 3

Name
Relationship
Phone Number (Home)
Cell
Best Time to Reach








Reference 4

Name
Relationship
Phone Number (Home)
Cell
Best Time to Reach
Applicant Signature
Date