Caregiver job description

Care For Me In-Home Care Agency, LLC is a comprehensive in-home care agency licensed by the State of Oregon, Oregon Health Authority, Health Care Regulation and Quality Improvement. Our services are person-centered and designed to support independence by assisting individuals of all ages with their personal care needs in the comfort of their residence.

The caregiver provides hands-on personal care to clients who are unable to care for themselves: help with activities of daily living (personal care, mobility, nutrition and hydration, toileting, assistive devices, medications, the client’s environment and safety; observing, recording and reporting), and instrumental activities of daily living such as light housekeeping, laundry, cooking, grocery shopping, transportation to appointments and shopping. The caregiver may also provide medication reminding.

Responsibilities

Apply standard precautions (CDC guidelines) and use hand hygiene between episodes of care.
Use appropriate body mechanics to prevent injury to yourself and the client.
Follow the client’s service plan and communicate appropriately with clients, families and coworkers.
Report changes in the client’s condition and record observations, tasks completed and client statements.
Apply safety concepts in the client’s home; report signs of abuse, neglect, mistreatment, misappropriation or exploitation.
Respect the rights and property of clients and their families, and maintain client confidentiality.
Pass a criminal records check.

Working conditions and physical demands

Work is in clients’ homes within our service area, under the supervision of the agency’s administrator, and may include night, evening or early-morning shifts. Caregivers often help lift, transfer and steady clients, and must be able to walk, stand, lift, pull, push, carry, balance, bend, crouch, reach, handle, speak, hear, write, read and communicate.

Minimum requirements

Be 18 years of age or older.
Communicate orally and in writing well enough to do the job and work with clients and staff.
Pass all screening tests, including criminal records and LEIE checks.
Have proof of the ability to work legally in the U.S.A.
Complete caregiver and medication training, or hold current Oregon State Board of Nursing certification as a nursing assistant or medication aide in good standing.

Do you meet these requirements and can you perform the tasks listed above? * Yes No

Application for employment

Fields marked * are required.

Position you are applying for *

Check all that you may be interested in Full-Time Part-time Full or Part-time

Last name * First name * Middle initial / name Home address * City * County State * Zip code * Cell phone * Home phone Email address *

Is your mailing address the same as your home address? * Yes No

Mailing address City State Zip code

Driver’s license / State ID and Social Security

Driver’s license / State ID # * Issuing state * Expiration date *

Operators (private vehicle) CDL

Upload a copy of your license / IDPhoto (JPG, PNG, HEIC, WEBP) or PDF, up to 15 MB Social Security Number (SSN) * Upload a copy of your Social Security card

Background questions

Have you ever been convicted of a felony since your 18th birthday? * Yes No

Some convictions are an automatic bar to employment; others are weighed on their individual merits. Inaccurate information will result in disqualification.

Nature of offense Name & location of court Date of conviction

Are any of your educational or employment records under a different last name? * Yes No

Previous last name

Have you ever been discharged or forced to resign from any position? * Yes No

Employer Date and reason

If hired, are you authorized to work in the United States? * Yes No

You will be asked for proof allowed on USCIS Form I-9.

References

Reference 1 name Telephone number Reference 2 name Telephone number Reference 3 name Telephone number

Availability

Days and times available to work (optional)

Tick the days you can work and, if you know them, the hours (for example Sunday from 8:00 AM to 4:00 PM). You can leave this section empty and tell the office later.

Sunday From To

Monday From To

Tuesday From To

Wednesday From To

Thursday From To

Friday From To

Saturday From To

How many hours can you work weekly?

Can you work nights? Yes No

Can you work evenings? Yes No

Education, training and certifications

Do you have a high school diploma? Yes No

Or a GED? Yes No

High school 1 name Location High school 2 name Location

Did you attend a vocational school, community college, college, university or other educational institution? If so:

Name of institution Address of institution

Did you complete the course work? Yes No

If yes, degree or certificate received If no, how many months or years did you attend? What field or subjects did you study?

Employment history

May we contact your present employer? Yes No

Comment

Most recent job

Starting date Ending date Hours per week Employer / company name Address (city and state required)

Type of work Paid work Volunteer (letter of proof needed)

Name & title of immediate supervisor Telephone number Title of position held Reason for leaving Describe job duties

Previous job

Starting date Ending date Hours per week Employer / company name Address (city and state required)

Type of work Paid work Volunteer (letter of proof needed)

Name & title of immediate supervisor Telephone number Title of position held Reason for leaving Describe job duties

Applicant’s signature *

By signing, I certify that the information in this application is true and complete.

Date: 10/19/2026

Pre-employment background check authorization

I understand that as part of the employment process, Care For Me In-Home Care, LLC needs to complete a CRIMINAL RECORD check on me to determine whether I, the subject individual (SI), more likely than not pose a risk to the agency, its clients or vulnerable individuals.

I therefore authorize all federal and state agencies, persons and organizations that may have information relevant to this research to disclose such information to Care For Me In-Home Care, LLC or its authorized agent(s). I understand that this authorization is part of the written and signed employment application, and that I do not have to give authorization, but if I don’t, my application will not be processed further.

I understand that I have specific rights under the federal Fair Credit Reporting Act (FCRA) and may have additional rights under State law. I certify that all statements on this form are true and correct to the best of my knowledge and belief, and that employment with Care For Me In-Home Care, LLC is contingent upon successful completion of a background check.

Your name, phone, email, Social Security Number, ID and address are taken from your application.

Date of birth * All other names / aliases used

In the last 5 years, have you been outside of Oregon for 60 days or more in a row? * Yes No

1. City State County From To

2. City State County From To

3. City State County From To

Outcome of the background check

You will be given a notice of fitness determination.

Denial: denials may occur for some convictions, unresolved arrests, probation violations, warrants, sex offender status, false statements about criminal history, or founded/substantiated abuse. Care For Me In-Home Care, LLC will conduct a weighing test. If you are denied you may not hold the position and must be terminated immediately.

Approved: you will be approved if you have no criminal or abuse history or if, after a weighing test, Care For Me In-Home Care, LLC determines that more likely than not you pose no risk to the agency, its clients or vulnerable individuals. Approval does not guarantee employment or volunteer placement.

Restricted approval: with potentially disqualifying history, you might be approved with restrictions to a specific client, work site or set of duties.

Case closed: if you do not cooperate with the background check, or do not meet the minimum qualifications, your application may be closed without a fitness determination.

I authorize Care For Me In-Home Care, LLC to complete my background check. *

SI / applicant signature *

Date: 10/19/2026