Apply to be a Caregiver/Provider/Attendant online by filling out the online application form.

PLEASE BE AWARE of the following steps to complete your application:

  1. Complete the online application (Please try to use a computer browser);
  2. You will then need to contact the Provider Care at Home office either in Austin on (512) 212 1402, or San Antonio on (210) 200 8718;
  3. Schedule a visit to our Austin or San Antonio office (Please note: due to COVID-19 our offices require appointments to visit), and bring a copy of your Social Security and Drivers License/Texas ID;
  4. Complete the new employee orientation and in-person meeting.

Caregiver/Provider/Attendant Application Form

"*" indicates required fields

Step 1 of 18

Provider Care at Home LLC does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor. However, this application does NOT guarantee employment.



Social Security #: _________________________ (Office Use Only)
MM slash DD slash YYYY
The number of dependents you would like to declare for tax.
Please enter a number from 0 to 99.
Are you a US Citizen*
If you are not a U.S. citizen, do you have the legal right to live permanently and work in the U.S.?
MM slash DD slash YYYY
Are you employed now?*
If yes, may we contact your current employer?*
Applying For*
Please enter a number from 0 to 100.
City applying for*