Caregiver / Companion Provider Application – Traveling Companions

This application helps us understand your experience, availability, and the type of companion care you’re open to providing. Traveling Companions is a referral and matching service, connecting independent caregivers with clients who need non-medical support and companionship.

Please complete this form honestly and thoroughly. The information you provide will be used solely for caregiver matching and screening purposes. Submitting this application does not guarantee placement, but qualified caregivers will be contacted when a suitable opportunity becomes available.

⏱ Estimated time to complete: 8–10 minutes

🔒 Your information is kept confidential

Willing to travel?

Are you legally authorized to work in the U.S.?

Do you have reliable transportation?

Do you have a valid driver’s license?

Are you willing to undergo a background check?

Types of care you provide (check all that apply):

Certifications (if any):

Availability

Overnight Care

Live-in Assignments

Pay Preferences

Accept flat-rate assignments?

Open to negotiated pay?

Independent Contractor Agreement