860.793.9944
PLAINVILLE, CT		 203.283.9425
MILFORD, CT

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Application for Employment

Make a difference in someone's life ...
Euro Homecare is looking for excellent men and women

Caring for our elderly, alzheimer's patients, disabled, chronically ill or mentally challenged is serious business ... so our caregiver's skills are put to task everyday. We demand that each of our professional in home companions be proficient in many skills so that they will follow the customized care plan that meets or exceeds our clients' physical, financial needs and requirements. And if you're multilingual, a certified healthcare provider or both—that's of great interest to us.

Moreover, a rewarding and gratifying career as an inhome companion will provide you with excellent benefits, such as an opportunity to utilize your imagination, while having an amazingly positive impact on your patient's life. As an in home care companion for our clients, you will be asked to provide mental stimulation, recreation, interesting conversation—while helping clients with their daily routines, such as meal planning and preparation, bathing, dressing, light housekeeping, laundry, shopping, running errands.

Flexible schedules are also another benefit—we offer days, nights, weekends and live-in. You can share with us your ideal times to work. No formal experience necessary—we will educate and/or train you utilizing our Euro Homecare methodology.

If you are a serious-minded man or woman who is caring, compassionate and looking to make a difference in another person's life, then Euro Homecare, LLC is the ultimate place to further your caregiver career.

In addition to our "in the field" caregiver positions, administration staff positions are available. Still intrigued?

Then simply click on the link below and fill-out our on-line application for employment. We will contact you within 7-to-10 working days.

With all these terrific opportunities, become a Euro Homecare caregiver today!


Applicant Information
First Name: Last Name:
Date of Birth: Country Of Origin:
Address: City:
State: Zip Code:
Home Telephone: Cell Telephone:
U.S Status: Yes     No

Are you legal to work: Yes     No

Current certification:
HHA
PCA
CNA
LPN
Other

Do you have any kind of transportation? Yes     No

Do you speak a second language: Yes     No


Professional Experience

CONDITION: (Check all that apply)
Alzheimer's
Dementia
AIDS
Diabetes
Stroke
Heart Disease
Parkinson
Pediatric Care
MRDD
Respiratory
Arthritis
Cancer
Hospice
Paraplegia

Work preferences:
Elderly Care
Baby Sitting
Housekeeping Availability:

Hourly:
     From (State am or pm)
     To (State am or pm)
     Days: Mon.    Tue.    Wed.    Thur.    Fri.    Sat.    Sun.

Night:
     From (State am or pm)
     To (State am or pm)
     Days: Mon.    Tue.    Wed.    Thur.    Fri.    Sat.    Sun.

Live-In:
Yes     No
If yes: 7 Days     5 Days


Weekends: Live-In     Hourly
     From (State am or pm)
     To (State am or pm)
     Fri.    Sat.    Sun.


Work Experience (Personal references)
Dates Emplyed:    
1. Name Of Patient: Name Of Employer:
Address: City:
State: Zip Code:
Home Telephone: Cell Telephone:


Dates Emplyed:    
2. Name Of Patient: Name Of Employer:
Address: City:
State: Zip Code:
Home Telephone: Cell Telephone:



Additional Questions

Have you ever been convicted of a crime? Yes     No

Martial status: Single     Married

Do you smoke cigarettes? Yes     No

Do you have problem with drugs or alcohol? Yes     No

Medical condition which pertain to employment:

Are you currently employed? Yes     No

Do you have special medical training?

Do you have allergies to pets? No     Cats    Dogs

How did you hear about us?


We not only live up
to our promises,
but also to your
highest expectations

Attentiveness, respect,
love & stability
are our core values

Hourly Companion Services
Live-In Companion • Homemaker Services
Personal Care Services
Alzheimer's Care Companion and more



For a FREE quote or
consultation, please call us at
860.793.9944
or email us at
elizabeth@eurohomecare.net

Our caregivers
are available for
as little as
$12 per hour

Companion Services
• Socializing
• Taking a walk
• Reading
• Playing games
• Medication reminders
• Meal preparation

Homemaker Services
• Shopping
• Transportation
• Running errands
• Light house cleaning
• Laundry
• In addition to the above ...
• Maintenance services

Personal Care Services
• Personal hygiene
• Oral hygiene
• Bathing
• Dressing
• Feeding
• Toileting
• Bed changing
• Exercising
• In addition to the above ...
• Hairdressing available upon
   request

Special Care Services
• Alzheimer's care
• Dementia care
• Stroke care
• Cancer care
• ALS care

Transportation Services
• Doctor's visits
• Errands
• Social events
• Movies
• Church
• Hair salon
• Park visits



The preferred home care provider for senior services, the disabled, Alzheimer's care, chronically ill or mentally challenged— Euro Homecare's services are available in Connecticut ... and throughout select areas of New England & New York
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