American | Advocate | Douglas

Start your registration process here

Name*
Phone*
Email*
What type of placement are you seeking?*
Select Office Location*
How many years of caregiver experience do you have?*
Please enter a number from 0 to 100.
Are you available to Live In?*
- Yes
- No
Do you have a level 2 background screening on file with AHCA?*
- Yes
- No
Do you have a communicable disease statement?*
- Yes
- No
Do you have a valid CPR Card?*
- Yes
- No
Have you completed HIV/AIDS training (1 hour)?*
- Yes
- No
Have you completed Alzheimer/Dementia Training (1 hour)?*
- Yes
- No
Have you completed Assistance with Self-Administered Medication Training (2 hours)?*
- Yes
- No
Can you provide documentation of a driver's license and auto insurance?*
- Yes
- No

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