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Register with AIDECAST

To register with AIDECAST for possible Private Pay Home Care Assignments, you will need to have the following items available and upload copies in the form.  All documents you submit are stored privately and not accessible to anyone other than the AIDECAST Staff for verification purposes.  Please note that submitting the form below is for registration purposes only.  Submitting the form does not guarantee an interview or employment.  You Must Speak English To Be Considered.

  • A clear copy of your HHA Certificate to upload for our review

  • A clear photo of yourself which can be used for a profile photo for our database

  • 2 reference letters 

  • A copy of your Driver's License or State issued ID

Submit Form To Register To Our Database.


Have You Worked For Private Pay Clients In The Past?

Select Languages You Speak, Read & Write:

Select All Conditions & Devices You Have Experience With:

Do You Drive and Have A Car?

Your Gender:

Years Of Experience?


Do You Have A Valid HHA Certificate or RN License?

Profile Photo
Driver's License or ID
HHA Certificate

Please Select All Shifts You Can Work:

Which Days Can You Work?

Would You Like For Clients To Contact You Directly With Job Offers?

Sign with full name below to confirm all you submit is true.

Thank you.  Your Information Was Submitted.

An error occurred. Please Check Your Input.

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