Start your journey as a caregiver! Fill out the form below, click “Submit” and we will get in touch soon! Caregiver Application Form Name * Name First First Last Last Phone * Email Address * City * State * Zip * Are you at least 18 years or older? * Legally you must be 18 years or older to apply for this position in the state of Oregon. * YesNo Have you ever been convicted of, plead guilty to, or plead no contest to a misdemeanor or felony in Oregon or any other state? * Select Home Care Portland runs a thorough background check with the state of Oregon before onboarding any employee. * NoYes What part of town do you live in and do you have any work location restrictions? Do you drive or take public transportation? I driveI take public transportation Are you looking for full-time or part-time employment? Full TimePart Time Are you looking for days or nights or both? DaysNightsBoth Please tell us about your caregiver experience, either professionally or personally. If you are human, leave this field blank. Submit