Join The Team

Are you interested in working with us Harmony Home Care Services? Please fill in the form below and we will contact you back. You may download the hiring form here.

Please enable JavaScript in your browser to complete this form.

Personal Information

Name
Address
Have you lived in the state of North Carolina for the past five (5) years?
Do you have a drivers license?
POSITION APPLIED FOR:
EMPLOYMENT DESIRED:

Employment Eligibility

Are you legally eligible to work in the U.S.?
Have you ever been convicted of a felony?
Have you ever worked for this employer?

Education

Highest level completed:
Graduate?

Previous Employment

Company / Individual
Address
Company / Individual
Address
Company / Individual
Address

References

Military Service

Are you a veteran?

Background Check Consent

Are you willing to consent to a background check?
NOTE: Background checks are required for this position

Disclaimer

Applicant understands that this is an Equal Opportunity Employer and committed to excellence We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications. In order to ensure this application is acceptable, please print or type with the application being fully completed in order for it to be considered. Please complete each section EVEN IF you decide to attach a resume. I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated.

Scroll to Top