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Please use the following form to submit an application for employment with Barton’s Angels, Inc.

Please note that the section on hours you are available to work is critical for us in determining if we could put together a satisfactory schedule for you, be sure to fill this out with as much detail as possible. Once your application has been submitted it will be reviewed and you will be contacted. If you have any questions about this application or employment with Barton’s Angels, you can reach Nancy or Melinda at 413-582-0220 or through email at bartonsangels@comcast.net Thank you for your interest in Barton’s Angels, we look forward to speaking with you soon.

Name:

Email:

Cell Phone

Home Phone

Street Address

City

State

zip

If you are employed, what do you do? Briefly describe your current responsibilities:

How long at your current position:

Describe the position you are looking for

Why do you want to be a Professional Angel

What reservations do you have about this career path

Describe the experiences you have had that you think have prepared you for home health care and/or community support services:

What specific days and hours are you available to work, these are days and times that you are willing to comitt to being available to work

Do you have reliable transportation
Yes No
Can you work in the following areas (press the control key to select multiple locations)

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