Signature Home Care GroupCompassion · Trust · Excellence Secure forms portal

Join a care team that shows up.

Thank you for your interest in caring for our clients. Your full application packet is online: no printing, no scanning, and you can finish it on your phone in about 25 minutes. Have your ID and any certifications handy to upload.

Signature Home Care Group

I'm applying to be a caregiver

Complete your full application packet online — no printing, no scanning.

  • Application, references, and availability
  • Infection control and bloodborne pathogens tests
  • HIPAA, consent, and policy acknowledgments
  • Upload your certifications and ID
Start my application
Serving Arizona families Your information is sent directly to our office and never shared Takes about 25 minutes · Bring originals to your interview
Step 1 of 9

About you

Start with the basics so we know how to reach you.

Home address

The position

Position(s) you're applying for
Type of employment
Eligibility
Are you legally eligible for employment in the United States?
Are you at least 18 years of age?
Are you available to work overtime if required?
Have you previously worked as a caregiver in this county?
If currently employed, may we contact your employer?
Have you applied with or worked for Signature Home Care Group before?
Do you have any friends or family employed with Signature Home Care Group?
Have you been convicted of a crime that has not been annulled by the court?

A conviction will not necessarily disqualify you from employment.

If considered for hiring, do you agree to provide a criminal background check?

Your availability

Our clients depend on consistent care, so an honest picture of your schedule helps us match you well.

Shifts you can work
Will you work cover cases (fill in when another caregiver is out)?
Do you have a driver's license and reliable transportation?

Employment references

Please give us two previous employers. We'll contact them to confirm your work history.

By continuing, you authorize Signature Home Care Group to obtain information from any appropriate source as to your work experience, character, and competence to perform the job functions and duties of the position for which you are applying.
Reference 1
Reference 2

Credentials and documents

Tell us what you hold, and upload a photo or PDF of anything you have handy. Anything you can't upload now, bring to your interview.

Check everything that applies
Upload copies (photos or PDFs, up to 8 MB each)
Please do not upload your Social Security card here. We'll verify it in person along with your I-9 documents after a job offer.

Infection control test

Choose the response that most accurately answers each question.

1Caregivers need to be more careful than ever about infection control in the home because:
2What is the best way to prevent carrying infectious organisms ("germs") from one client's home to another?
3The most important way to prevent the spread of infection is:
4When you handle raw chicken to prepare a client's meal, it is most important to:
5Personal protective equipment (PPE) is used to:

Bloodborne pathogens test

Mark each statement true or false.

Policies, consents, and your signature

Please read each document. Where it asks for initials or a signature, type your name — this is your legal electronic signature.

Confidentiality of client information (HIPAA)

By accepting employment with Signature Home Care Group, you have obligated yourself to carefully refrain from discussing any client's condition or personal affairs with anyone outside the agency, unless expressly authorized to do so. Do not pass on medical information to clients and visitors unless you have been instructed to do so by your supervisor. All information seen or heard regarding clients, directly or indirectly, is completely confidential and is not to be discussed, even with your family.

Your job as an employee requires that you govern yourself by high ethical standards. Failure to recognize the importance of confidentiality is not only a breach of professional ethics, but can also involve an employee in legal proceedings. Information about clients or the agency is not to be given to the media. This is essential for the protection of both the client and Signature Home Care Group.

Caregiver consent

I hereby consent to provide care for clients of Signature Home Care Group, and I acknowledge that such consent will remain in effect unless and until I cancel it in writing. I acknowledge and confirm that I am mentally capable of giving informed consent to the provision of care and am not subject to duress or undue influence.

I understand that by signing this voluntary caregiver consent, I am giving informed consent to provide services under Signature Home Care Group, unless the actions or omissions of Signature Home Care Group constitute willful or wanton misconduct.

I agree that I will not be employed directly by any client of Signature Home Care Group without the due consent of, or notice to, Signature Home Care Group. Signature Home Care Group reserves the right to seek damages of up to $20,000.00 if a caregiver is employed directly or indirectly by a client in violation of this agreement.

Hepatitis B vaccine

I have been provided with information regarding Hepatitis B and the Hepatitis B vaccine. I understand there is no guarantee that I will not experience an adverse side effect from the vaccine, and I will hold this agency harmless in the event I have an adverse reaction. I have been advised that studies have not been conducted to determine the effect of the vaccine on a developing fetus; therefore the safety of the vaccine on a developing fetus is not known.

If I decline, I understand that I do not wish to receive the Hepatitis B vaccine at this time and hold this agency harmless. I reserve the right to receive the vaccine at a future date.

Home care guidelines

Signature Home Care Group — Home Care Guidelines

Management would like to welcome you to Signature Home Care Group. In order for the agency to meet its goal of providing excellent care to its clients, please follow these guidelines carefully.

  • The Staffing Coordinator is responsible for assigning you a case. All accepted assignments must be carried out as given.
  • If you accept an assignment and for any reason need to stop working with the client or are requesting a "Release of Care," a written request must be submitted to Signature Home Care Group administrative staff two weeks prior to the requested end date. Call and speak to a staff member, then follow up by email; both are required for the request to be valid.
  • You must know the diagnosis of your client. This enables you to provide better care. Refusing to work with a client on the basis of their diagnosis, such as HIV or any other diagnosis, will lead to employment or contract termination.
  • If you accept an assignment, call the client, introduce yourself, and let them know when you are expected to start.
  • When you meet your client for the first time, introduce yourself. For example: "Good morning Mrs. Jones. My name is Mary. I am your caregiver from Signature Home Care Group."
  • Always report to work on time. Plan ahead to find out how to get to your client's residence. They depend on us to be there.
  • If you arrive and cannot reach the client, call the client's phone. If there is no answer, call the agency and a staff member will reach out. Wait for the client at least 15 minutes in case they are home. In all cases, report it to the agency.
  • If you are running late, call the client and call the agency and speak with a staff member. Always ask for the name of the person you spoke to. If no one answers, leave a complete voice message with details.
  • Treat your client with respect. Do not talk back to them. If you have any complaints, report them to the agency. Treat staff with respect when addressing any issue and refrain from abusive language; staff are expected to treat you with respect as well.
  • Your required uniform is full scrubs. Shoes should be low and supportive (no sandals or open-toe shoes). Use gloves and a mask when needed.
  • If your client falls or becomes ill, immediately call 911. Once the client is transported to the hospital, call the agency immediately with the hospital information and write up an incident report.
  • If your client is hospitalized, notify the agency immediately. If the client is admitted, stop providing service. If the client is discharged and you are notified by the client, a family member, or hospital staff, call the agency before returning to work. You will not be compensated for time worked if you fail to inform the agency that your client has returned home.
  • Your client has several rights, including the right to privacy, respect of person and property, confidentiality of medical information, and refusal of care. Do not violate any of these rights.
  • Do not use the client's phone for personal use. You may not be on your cell phone unless there is an emergency. Emergency calls should be short and out of the client's hearing range. Non-emergency cell phone use or texting while on duty is strictly prohibited.
  • Identify yourself with a government-issued picture ID if the client requests it when first working together.
  • The agency sends all updates and notifications concerning open shifts and expiring documents through the scheduling app via text or email. Expiring-document notifications go out 30 days before the expiration date. Failure to submit updated documents will result in case suspension until they are received.
  • If you want to take a day or several days off, call the agency so we can make sure the client has proper care in place. Our clients depend on us to be there for them.
  • When emergencies occur, notify the agency at least 4 hours before your shift starts so we have an opportunity to find coverage. Failure to do so will result in removal from the case.
  • For scheduled appointments, the agency requires 5 days' notice with proper documentation. Requests without notice will be denied, and same-day notifications of scheduled appointments will be automatically declined.
  • No-call, no-shows are unacceptable and are grounds for immediate termination.
  • To clock in and out, every caregiver uses the agency's scheduling app, which requires you to be in the home. This is also where you enter care notes, which go directly to the agency. If you have a problem clocking in or out, contact the office immediately. Failure to clock in and out through the app will result in incorrect paychecks and payment delays.
  • If your client or a family member asks you to leave early, call the agency and the client's emergency contact (if applicable) to inform them of the early dismissal.
  • You are not allowed to take the client's blood pressure, give medications, treat wounds, or perform any other skilled nursing care unless you are certified to do so. If you observe a need for skilled care, contact the agency and write a communication note about it.
  • The agency has an open-door policy and a strict confidentiality policy: anything disclosed to the agency, personal or client-related, is kept confidential. If you have a personal matter that will affect your ability to work (for example pregnancy, surgery, or therapy), inform the agency as soon as possible so that adjustments and accommodations can be made.
  • Signature Home Care Group may terminate your employment or contract if you repeatedly refuse cases assigned to you (more than twice without a valid reason) after accepting them and receiving all the details.
  • Begin your shift by first being at the client's home before running any errands for the client.
  • You may not swap schedules with other caregivers. Inform the agency of any change you would like to make and get approval. Doing otherwise may be grounds for immediate termination or suspension.
  • The agency makes random calls to clients' residences to ensure you are with the client. Unless you are out running errands for your client, you are required to be with your client at all times, and you must check in with your client before going out.
  • Any employee or contractor engaged in fraudulent activities will be reported to the appropriate government bodies for further investigation.
Application certification

I certify that all the information I have provided is true, complete, and correct. I authorize Signature Home Care Group to investigate all statements contained in this application. I understand that any misrepresentation or omission of facts is cause for immediate disqualification and, if employed, immediate dismissal.

I understand that if I am hired, I will be required to provide a criminal background check at my cost, proof of identity and legal authority to work in the United States, and proof of certifications or educational qualifications.

I understand and agree that if employed, I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment.

Review and send

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Please complete the highlighted items before continuing.

Tell us about the care you need

A few details so the right person can call you back. Nothing here commits you to anything.

Your contact information
Who needs care
What kind of help would be useful?
Please fill in the highlighted fields.