Application for Employment

COMPLETE PRIVATE HOME CARE, INC. is an EQUAL OPPORTUNITY EMPLOYER: We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital, or veteran status, sexual orientation, or other legally protected status.

Applicant Information

To apply for a position with Complete VNA, please fill out the following form. All fields with * are required. In addition, download and complete the following documents and fax them to us at (606) 644-1530:


Clinical Registration / License:
Employment History

Acceptable file types: pdf.
Maximum file size: 1mb.
Please provide at least 3 references. Please click here to download this reference form and provide one copy for each of your references authorizing us to contact them.
Questions for Applicant
(All offers of employment are conditional upon the satisfactory completion of a criminal background screening and driving record check.)
Applicant's Statement

I understand and agree that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the employer’s service if I have been employed. Furthermore, I understand that just as I am free to resign at any time, the employer reserves the right to terminate my employment at any time, with or without cause, and without prior notice. I understand that no representative of the employer has the authority to make assurances to the contrary.

I give the employer the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability the employer and its representatives for seeking such information, and all other persons, corporations, or organizations for furnishing such information.