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BRS Personal Care Application
Full Name
*
Email
*
Phone Number
*
City & State
*
Personal Care Experience
*
A
No experience yet
B
Less than 1 year
C
1–3 years
D
3–5 years
E
5+ years
CPR / First Aid Certified?
*
A
Yes, current
B
Yes, expired
C
No
Background Check Status
*
A
Clean and recent (within 12 months)
B
Clean but older
C
Need to complete one
Driver's License
*
A
Yes, with reliable transportation
B
Yes, but no vehicle
C
No driver's license
Availability
*
A
Weekday mornings
B
Weekday afternoons
C
Weekday evenings
D
Overnight
E
Weekends
F
Flexible / on-call
Service Area Willing to Work
*
A
Region 1 (New Orleans metro)
B
Region 2 (Baton Rouge area)
C
Other Louisiana regions
Brief Summary of Experience
*
“Tell us about your care work background, what populations you’ve worked with, and what you’re looking for.”
Resume or Work History
*
Accept: .pdf, .doc, .docx
Optional — some PCAs may not have a formal resume
Click to choose a file or drag here
Size limit: 10 MB
How did you hear about BRS?
*
A
Word of mouth
B
Social media
C
Website
D
Other
Submit
