Join Our Caring Team

Start your rewarding career as a FamilyCare Caregiver

Caregiver Application Form

Please complete all required fields. Fields marked with * are required.

Personal Information

First Name *

Last Name *

Email Address *

Phone Number *

Date of Birth *

Social Security Number (Last 4 digits) *

Street Address *

City *

State *

ZIP Code *

Eligibility Questions

Application Processing Payment

Processing Fee Breakdown

Criminal Background Check$15.00

Administrative Processing$12.00

HIPAA Compliance Training$11.00

CPR Training Materials$11.00

Total Application Fee$49.00

* This one-time fee covers all required certifications and background checks to begin your career with FamilyCare.

I agree to the Terms & Conditions and understand that the $49.00 application fee is non-refundable. This fee covers background checks, certifications, and administrative processing.

Next Step: Payment

Please agree to the Terms & Conditions above to proceed with payment and submit your application.