Employment Application

Complete the application below to apply as a caregiver with The Townsend Agency Home Care.

Personal Info

Skills

Rules

Authorization

Personal Information

Please provide your contact details and work eligibility information.

Contact Info

First Name *

Last Name *

Email *

Phone Number *

Cell Provider

Street Address *

Apt/Unit

City *

State

ZIP Code *

Emergency Contact (Name & Phone)

How long have you lived at your current address?

Work Eligibility

Are you eligible to work in the U.S.? *

YesNo

Do you drive? *

YesNo

Certifications (select all that apply) *

CNAHHAPCA

Experience Questions

Can you work with clients that have pets?

YesNo

Do you have experience with Dementia?

YesNo

Do you know how to use a Hoyer Lift?

YesNo

Do you know how to cook?

YesNo

Can you work with clients that smoke?

YesNo

Have you ever been convicted of a crime?

YesNo

Do you have experience with light housekeeping?

YesNo

Questions?

Call us at (860) 484-0040 or email info@townsendagencyhomecare.com

The Townsend AgencyHome Care

Your trusted partner for non-medical home care in Connecticut. Licensed to serve all of Connecticut | DCP #0002487

Services

Live-In Care
Memory & Dementia Care
Companion & ADL Care

Licensed to Serve All of Connecticut

DCP #0002487

All of Connecticut
Bristol, CT
Farmington, CT
Southington, CT

Including Hartford, New Haven, Waterbury, Danbury, New Britain, Meriden, Middletown, Torrington, Enfield, Glastonbury, and all surrounding areas.

Company

Services
Why Live In Care?
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Contact
Employment