Help At Home
There is no place like home...
when you or a loved one needs care.

Apply Online

Apply Online

1

Welcome

2

General Info

3

Experience

4

Education

5

Questionnaire

6

References

7

Signature

WELCOME step 1 of 7

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Please enter your First Name
Please enter your Last Name
Please enter your Email
Please enter a valid email address
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GENERAL INFO step 2 of 7

Please select a state
Please enter your primary phone number
Please enter a phone number in the format ###-###-####
Please enter your mobile phone number
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EXPERIENCE step 3 of 7

You may enter up to 5 jobs, starting with your most recent one.




EDUCATION step 4 of 7


Licenses & Certificates







QUESTIONNAIRE step 5 of 7

Please enter a preferred location
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Availability

Please enter the date you can start to work.
Please enter the weeks needed for Advance notice.

REFERENCES step 6 of 7

Provide at least 3 (three) professional or school references. Please, do not include family members or other relatives.
In case of an emergency who would you like us to contact:

SIGNATURE step 7 of 7

By signing below:

I declare that all information provided on my application to be a candidate for Help At Home, Inc. or any information provided as attachment(s) to my application are true, accurate, and can be verified if necessary.

I understand that any false statements or deliberate omissions on this document may be grounds for disqualification from employment or, if discovered after employment begins, could result in discipline up to and including my termination of employment.

I hereby authorize Help At Home, LLC to verify information provided on the employment application. Information subject to verification includes, but is not limited to: Former employment: dates of employment, main responsibilities, average of hours per week, supervising experience, quality of work performed, key strengths and areas for improvement, communication skills, reason for leaving organization and eligibility for rehire. Education, Licensure and Certification: Existence on registry, degree, GPA, expiration date.


FOR TENNESSEE APPLICANTS ONLY I certify and affirm that to the best of my knowledge and belief, I have not or have not had a case of abuse, neglect, mistreatment or exploitation substantiated against me. As a condition of submitting my application and in order to verify this affirmation, I hereby authorize Help At Home, LLC, Tennessee Department of Intellectual and Developmental Disabilities, and Bureau of TennCare to have full and complete access to any and all current or prior personnel or investigative records, from any party, person, business, entity or agency, whether governmental, or non-governmental, as pertains to any allegations against me of abuse, neglect, mistreatment or exploitation and to consider this information as may be deemed appropriate. I further authorize Help At Home, LLC to provide any applicable information in personnel or investigative records concerning my employment to my future employers involved in providing DDID services.


Please enter your First Name
Please enter your Middle Initial
Please enter your Last Name

IMPORTANT: You must enter your first name and last name to agree to the terms.