Send a Message: Contact Form

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610-915-0040

Careers

Name: JACE Home Healthcare Services, LLC
Telephone: 610-915-0040

Join a Team that is About Service, Kindness, and Respect

Are you interested in working with us? We put the client's needs first, but we also know that to give good service, you have to treat your aides and caregivers well. Our first step in delivering excellent service to clients is to give our caregivers the support they need and the respect they deserve.

If you are the type of person who takes pride in a job well done and enjoys helping the elderly, complete the application below.

Annual Physical & PPD Form Download, take to your primary care physician for completion, then submit to HR.

Download Form

Employment Application

Personal Details

Full Name

Date of Birth

Street Address

City

Zip Code

Email Address

Work History

List your most recent positions. At least one entry is required.

Education

List your educational background. At least one entry is required.

Experience Summary

Have you ever applied to or worked for JACE?

Previously Applied

Previously Employed

Neither

If previously applied or employed, what date?

How did you learn about JACE?

Online Ad

Walk-In

Website

Referral

Other

Who referred you?

Do you have friends or relatives working for JACE?

Yes

If yes, state their names and relationship

Have you lived outside Pennsylvania within the last two years?

Yes

Are you 18 years of age or over?

Yes

Are you legally eligible to work in the United States?

Yes

Can you show proof of citizenship, visa, or alien registration if hired?

Yes

Are you willing to undergo a criminal record check?

Yes

Do you have experience, training, or qualifications suited for JACE?

Yes

If yes, please explain

Do you have a valid driver’s license?

Yes

Position applying for

Home Health Aide

Supervisor

Office Staff

I am applying for (select all that apply)

Full-Time

Part-Time

On-Call

Temporary Work

If applying for temporary work, end date of availability

What days and shifts are you available?

Are you available to work in a backup or open shift capacity?

Yes

Do you agree to work holiday shifts per JACE policy?

Yes

If hired, what date can you start?

Do you have reliable transportation?

Yes

Are you a Licensed Healthcare Professional?

Yes

I certify that the information regarding my availability stated above is accurate and that I am able to commit to the schedule indicated.

References (3 required)

Reference 1

Full Name

Phone

Relationship

Professional

Personal

Reference 2

Full Name

Phone

Relationship

Professional

Personal

Reference 3

Full Name

Phone

Relationship

Professional

Personal

Certifications

Please initial each statement to acknowledge your agreement.

This application will remain on active file for 60 days. After 60 days, a new application must be submitted for consideration.

Initial here

I certify that all answers given on this application are true and correct. I understand that any omission or misstatement of material facts will be sufficient cause for rejection of this application or dismissal from employment.

Initial here

I authorize JACE Home Healthcare Services, LLC to investigate my references, work record, education, and any other matters related to my suitability for employment.

Initial here

I acknowledge that a pre-employment physical examination and TB screening are required for employment or contract services at JACE, and that the cost of this examination is my responsibility. Current employees and contractors must renew this examination annually or bi-annually as required by company policy and applicable State/Federal regulations.

Initial here

I acknowledge all statements in this application and agree to abide by the policies and procedures of JACE Home Healthcare Services, LLC if employed.

Initial here

Signature & Documents

Signature — Type your full legal name to sign this application

Upload a copy of your valid Driver’s License (.jpg, .png, .pdf, .doc, .docx)

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