This is our short-form application. If you are serious about applying please fill out this application, and a representative from our human resources department will contact you within a week. This online application will be used as a pre-evaluation and does not require or represent hiring in any way. A long-form application will have to be filled out in addition to the short-form application at our office location - long-form applications are mailed to applicants outside of the Milwaukee metropolitan area.

Professional Home Care Services is an equal opportunity employer, no applicant will be evaluated on the basis of age, race, religion, color, sex, national origin or ancestry, handicap, physical condition, developmental disability, arrest or conviction record, sexual orientation, marital status, or military participation.

Please fill out the form below bold fields are required:

 
name: email address (must be valid):
address:
city: state: zip:
phone: cell/pager:
date of birth:
license #: expires:

 
CPR certification date:
malpractice insurance:
specialty: RN      LPN     CNA     HHA     other: (please specify)
how did you hear about the position?

 
please click on this button after you have filled out the form   

For more information please feel free to contact us at 414-541-5500 or toll free at 1-800-236-6623.

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