Companion Extraordinaire is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age sex, religion, disability, medical condition, national origin, marital status or any other protected class.

Personal Information

Section 1 - General Information

(Numeric Answer Only)

Section 2 - Employment Verification

Section 3 - Education

Section 4 - Other Training: Certifications/Licenses

Section 5 - Current Employment

Section 6 - Employment History

Section 7 - Reference - Professional

Section 8 - Reference - Personal

Section 12 - Emergency Contact Information

Important Notices

  • CENN, INC. bases its employment decisions upon the qualifications of each applicant and does not discriminate against any employee or applicant because of race, color, age sex, religion, disability, medical condition, national origin, marital status or any other protected class.
  • The Immigration Reform and Control Act requires those who may be hired for positions provide documentation that they are eligible to work in the United States of America.


  • I understand that if I am offered a position and accept, I am required to work every other weekend.
  • I understand that CENN, Inc., has a service radius of 30 miles from my base office and that I will be required to travel to client’s homes.

I hereby certify that the facts set forth in this employment application are true and complete to the best of my knowledge. I understand that if I am offered a position or employed, falsified statements on this application shall be considered cause for revocation of the offer or dismissal. I also realize that this information will be verified by the employer. I authorize my former employer(s) to cooperate with CENN, INC., and to release on a confidential basis my information they may have concerning me. If employed, I agree to abide by all of the organization's rules. I understand that employment, if offered, maybe contingent on completion of a pre-placement medical screening which includes demonstrating through a pre-employment drug test that I am free of illicit drugs. In addition, I understand that continued employment is contingent on compliance with the organization's policies on providing an alcohol and drug-free workplace, including drug and alcohol testing. All persons employed by CENN, INC. are required to consent to a criminal record background investigation. A conviction will not necessarily disqualify one from consideration of employment. However, convicted criminals are subject to discharge if the criminal record investigation reveals a conviction that the organization considers to bring into question the employee's suitability for the position.

I understand that, if employed, employment will be "at will" and shall be terminable by the employer or myself at any time with or without cause. Any statements or promises to the contrary are not binding unless verified, in writing, by the Administrator. This application does not constitute an offer of employment nor does it constitute an employment contract. This application is valid for 90 days from the date submitted.