Apply Online with Sweet Home Serenity Care

PCA Training Class
Applicant Information
Driver License State

Organization Telephone Contact Person Dates Worked May We Contact Ver

Criminal History

Name Location Major Graduate? End Date
Name Location Graduate? End Date

Skills and Preferences

Specialized Training

Additional Questions

Emergency Contact Information
Name Relationship Cell Phone Home Phone
PCA Certificate Class is $300.
Mail or Email* all by Oct 22nd, 2017 to:
Credit Card#: Will Invoice for payment.
Make Check out to: Sweet Home Serenity Care
Mail To: 11163 Pine Hill Rd, King George, VA. 22485
When completing the full amount $300. You will Receive Certification upon completion 40 hours and final test.
*If paperwork is emailed, the application will not be active until the fees are received. The full amount or 50%

Terms and Conditions
By completing Sweet Home Serenity Care PCA training class, you are certifying that you have read the Terms and Conditions, and will adhere to all rules and policies herein.
Thank you for your interest in the PCA Training. Your registration will be confirmed by email within one week of the time we receive it. Please contact us if you have not received notification. For more information, please email Director of Communications and Development at Sweet Home Serenity Care PCA training Certification