Tools for employers

Sample worksheets, checklists and forms to help you with employing your homecare worker.
Updated September 15, 2009

Preparing to hire your homecare worker

• Module 1 Handouts: Preparing to Hire
  • Hiring Process Checklist
  • Services and Tasks Worksheet
  • Homecare Worker Skills, Experience and Personal Qualities Worksheet
  • House Rules and Expectations - Example and Worksheet
  • Homecare Worker Job Description

Hiring your homecare worker

• Module 2 Handouts: Hiring your homecare worker
  • Employment Ad Samples
  • Telephone Screening Questions - Examples and Worksheet
  • Interview Questions and Notes - Sample Questions and Worksheet
  • Interview Impressions - Example and Worksheet
  • Applicant Reference List Form
  • Applicant Reference Check Worksheet #1
  • Applicant Reference Check Worksheet #2

Communication and safety in your home

• Module 3 Handouts: Communication and safety in your home
  • Employment Agreement - Sample and Form
  • Homecare Worker Daily Sign-In Sheet Form
  • Request for Time Off Form
  • Employee Performance Review Form
  • Worksheet for Addressing Concerns
  • Notice of Employment Termination
  • Backup Homecare Workers Form
  • Homecare Worker Daily Checklist
  • Household Safety Checklist
  • Emergencies
    • Emergency Plan
    • Sample Emergency Checklist
    • Emergency Checklist
  • Confidentiality Agreement