Onondaga County: 315.447.2461 | Ulster & Dutchess County: 854.594.9245


Constant Care 247 is always looking for bright and talented individuals to be on our team and referral placement agency.

Please fill out the application below, and someone will reach out soon!

Personal Information

Present Address:

Permanent Address:

Employment Desired


if anything does not apply to you, please type "n/a"

Grammar School

High School


Trade, Business, or Correspondence School


Exclude organizations, the name of which indicates the race, creed, sex, age, marital status, color or nation of origin of its members.

Work Availability

Former Employers

List below last three employers, starting with the last one first.

Employer 1

Employer 2

Employer 3

Professional References

Give the names of three persons not related to you, whom you have known at least one year

Reference 1

Reference 2

Reference 3

Emergency Contact Information

"I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time.

In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than it's president, and then only when in wrong and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing."