Angels on Duty In-Home Care Services

Job Application

If you are interested in a job opportunity with Angels on Duty, you may fill out our online application below, or download a copy and fax or mail it in at our contact address.

First Name:
Middle Initial:
Last Name:
Any Previous Last Names:
Current Address:
Home Phone:
Cell Phone:
Are you 18 years or older?
Are you prevented from lawfully becoming employed in this country because of VISA or immigration status?
Do you have a current driver's license without restrictions? If yes, please enter your driver's license number:
Have you been convicted of or plead guilty to any traffic related offense within the past five (5) years?
Have you had your driver's license suspended, revoked, or had your driving privileges modified by a court of law?
Have you ever been convicted or pled guilty to a felony or other crime? If yes, please explain:
Position Desired:
Date You Can Start:

All Angels are paid an hourly rate based on the type of work. Please see our pay rates page for more information.

Are you currently employed?
Have you applied to this company before? If so, please specify when.
How did you hear about angels on duty?
Education School & Location No. of years Graduate? Subjects Studied
High School
College
Trade, Business, or Correspondence School
Other
Former Employers (List all of your last 5 employers, starting with the most recent first)
Dates Name & Phone Number Hourly Rate Job Title Reason For Leaving May We Contact?





Which of these jobs did you like best? 
References (3 Persons not related to you who you have known for at least one year)
Name Phone Number Business Years Acquainted
In Case of Emergency, Notify:
Contact Address:
Contact Phone Number:

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, sexual orientation, marital or veteran status, or any other legally protected status. All employees will be registered with the Family Care Safety Registry and the State of Missouri Department of Health and Senior Services.

Submission of this form indicates agreement with the following statements:

  • I certify that answers given herein are true and complete.
  • I agree that employment with Angels on Duty Inc. is dependent upon the completion of a drug screening and background test.
  • I authorize investigation of all statements contained in the application for employment as may be necessary in arriving at an employment decision.
  • This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.
  • I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.
  • In the event of employment, I understand that false or misleading information given in my application or interview's may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

  I have read and agree to the above statements.

ornamental line
636-980-HALO (4256)  •  St. Louis: 636-294-WING (9464)
...All night, all day, Angels watchin' over me...
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