Home Service Worker Application

Complete this application to join the Elegant Care team. We will review your application and contact qualified candidates within 3–5 business days.

Personal Information

First Name *

Last Name *

Phone Number *

Email Address *

Home Address *

City *

ZIP Code *

Date of Birth *

Authorized to work in US? *

Availability

Position Type *

Earliest Start Date

Days Available *

MondayTuesdayWednesdayThursdayFridaySaturdaySundayOvernight shifts

Experience & Qualifications

Years of Experience

Languages Spoken

Valid Driver's License?

Reliable Transportation?

Types of Care Experience

Personal Care/ADLsAlzheimer's/Dementia CareHomemaking/CookingCompanion CareParkinson's CarePost-Surgery RecoveryLive-In CarePediatric/Special Needs

Certifications/Training

CPR/First AidHome Health Aide (HHA)Personal Care Aide (PCA)Alzheimer's/Dementia TrainingFood Handler CertificationNo certifications currently

Background & Final Questions

Ever convicted of a felony? *

Can you pass fingerprint background check? *

Most Recent Employer

Why do you want to work in home care?

Anything else you want us to know?

Notice: All positions require a fingerprint-based background check through the Illinois State Police and verification through the IDPH Health Care Worker Registry. Employment is contingent on ELIGIBLE results. All required training is provided and paid by Elegant Care.

By submitting this form you consent to Elegant Care contacting you by phone or email. Your information is kept private and secure.

Elegant Care

Home Care Agency

Providing compassionate, professional non-medical home care services to seniors and adults throughout Chicago and Cook County, Illinois.

IDPH Licensed Agency

SERVICES

Personal Care
Homemaking
Companionship
Respite Care
Transportation
Live-In Care

COMPANY

About Us
Careers
Contact
Apply for Care

CONTACT

(312) 584-8880
elegantcarers@gmail.com
2340 S River Rd Suite 215 Des Plaines, IL 60018
Mon–Fri 9am–5pm

Serving Chicago & Cook County, Illinois