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