1-800-473-4427 sfarrar@homecompanion.com

Application For Employment

Please CLICK THIS LINK or CLICK THE IMAGE BELOW to download and print our Application Checklist

Please CLICK THIS LINK or CLICK THE IMAGE BELOW to fill out our
Application Checklist
on JotForm.com

Please CLICK THIS LINK or CLICK THE IMAGE BELOW to fill out our
Application for Employment STEP-01
on JotForm.com

Please CLICK THIS LINK or CLICK THE IMAGE BELOW to fill out our
Health Status form STEP-02
on JotForm.com

Please CLICK THIS LINK or CLICK THE IMAGE BELOW to download and print our
i-9 2023 – 2026 form STEP-03

Please CLICK THIS LINK or CLICK THE IMAGE BELOW to download and print our
i-4 2024 – 2026 form STEP-04

Please CLICK THIS LINK or CLICK THE IMAGE BELOW to fill out our
Background Check form STEP-05
on JotForm.com

Please CLICK THIS LINK or CLICK THE IMAGE BELOW to download and print our
NYS Dept of Labor LS54 form – STEP-06

Please CLICK THIS LINK or CLICK THE IMAGE BELOW to fill out our
NYS Correction Law form – STEP-07
on JotForm.com

Please CLICK THIS LINK or CLICK THE IMAGE BELOW to fill out our
Personal Reference form – STEP-08
on JotForm.com

Please CLICK THIS LINK or CLICK THE IMAGE BELOW to fill out our
Previous Employer Reference (1) – STEP-09
on JotForm.com

Please CLICK THIS LINK or CLICK THE IMAGE BELOW to fill out our
Previous Employer Reference (2) – STEP-10
on JotForm.com

Reach Us

Servicing all of Nassau and Suffolk Counties, Brooklyn, Queens, Manhattan and the Bronx.

Toll Free: 1-800-473-4427
Phone: 631-473-0700
Fax: 631-473-9507

46 NY-25A
#8
East Setauket, NY 11733

Susan Farrar, Administrator
sfarrar@homecompanion.com

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