Become a Caring Heart - Caring Hearts

If you are interested in utilizing Caring Hearts to support a family member or friend or if you have any questions about our services, please use the contact form below and we will try our best to respond back to you within 24 hours.

ZIP / Postal Code *
Email *
Phone
Name *

First

Last
Please complete the below questionaire
Why do you feel qualified to be a Caring Heart? *
Are you over the age of 21?

Yes No
Do you have reliable transporation?
Have you worked with senior citizens before?
Would you describe yourself as having an outgoing personality?
Describe your availability to meet with seniors in your local area
Describe a time when you had a difficult customer and tell us how you handled it
Are you able to carry on a conversation for long periods of time?
Would you be willing to meet with clients both in their home or at a neutral location?
Do you have a criminal background?

Yes No

Address

228 Park Avenue S NUM 746655, New York, NY 10003

My Caring Hearts Logo

Please complete the below questionaire

Address