Live-Out Positions of Interest – Please confirm your interest in this role
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Please select all that apply:
Occasional/Backup Shifts Only (PRN)
N/A - Seeking Live-In Only
Live-In Positions of Interest – Please confirm your interest in this role
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Please select all that apply.
Roommate/Caregiver (May 2026)
Roommate/Caregiver (Fall 2025 - backup)
Integrative Care Provider (full-time, live-in, salaried position - description on request)
N/A - Seeking Live Out Only
I have reviewed the "A Day in the Life" page.
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If you have not, please do this before applying.
True (required)
False
Name
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First Name
Last Name
Are you currently a student or will you be soon?
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Full-time, part-time, etc.
Yes, full-time
Yes, part-time
No
Date you could begin working
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What is the earliest date you could begin? For live-in roles, indicate your earliest possible arrival date.
MM
DD
YYYY
What kind of weekly role are you seeking right now?
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You may select more than one if you’re open to different possibilities or hope to expand your role over time. Many people start with part-time and grow into the role.
Part-time, 2–3 full days/week (approx. 8–10 hrs/day with breaks)
Part-time, 3–4 full days/week (approx. 8–10 hrs/day with breaks)
Interested in more hours or a larger role over time
Available for occasional or fill-in coverage when needed
I’m not sure yet – open to discussion
Which days of the week are you generally available to work?
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Please select all that apply – many people start with part-time and grow into the role. Some weekend availability is needed.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Describe your availability to work over holidays and during academic breaks.
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I need reliable coverage. Please let me know if you plan to be gone for more than 2-3 days during holidays/breaks.
Skilled Care Experience
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Areas with which you ALREADY have experience. Otherwise, select "none of these."
Catheter Care (irrigate and change)
Recognizing/Treating Pressure Injuries
Colostomy Care
Spinal Cord Injury (SCI)
Autonomic Dysreflexia
Patient Transfers (with or without lift)
Wheelchair Maintenance/Repair
None of these
Relevant Skills
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Please describe specific relevant skills for any position(s) you checked above.
Email Address
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Phone
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(###)
###
####
Preferred method of initial contact?
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Select all that apply
Text
Email
Work Experiences / Dates / Responsibilities / References
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List at 2-3 relevant jobs, including company name, position title, dates of employment, responsibilities, and a reference (person's name + email or phone), and their relationship to you (supervisor, client, etc.).
Social Media Profile(s) - e.g., LinkedIn, Facebook, etc.
Please provide URL(s) if available
Transportation
How will you reliably get to work (regardless of weather)?
Driver's license and clean/safe driving record
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Do you have a valid driver's license and clean/safe driving record (yes/no)?
Yes
No
Why are you interested in helping James?
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Please explain after reading the About page, Position description(s), and Resources page.
Why a good fit?
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Please EXPLAIN why you would be a good fit for this position to help me. Please discuss relevant experience and skills related to the job description.
Relevant limiting issues?
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Some of my caregiving roles require you to be in good health. Is there anything you think might limit your ability to help me? Yes/No.
Interview availability?
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When are you available for an interview via Zoom? Please list 2-3 dates and times or ranges of times.
Personal Message to James
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Thank you for your interest in helping me! Please introduce yourself and tell me anything else you think I should know about you as a person or for the position(s) you are seeking. I'm hoping to receive an application from someone who is willing to prioritize me and my care and support my personal and professional goals.