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Employer Registration
Want to register to use this site for your staffing needs? Use the fields below to complete the process
Your Agency Name:
Email
Contact Name of owner/administrator completing this form?
Owner/Admin Phone number
Owner/Admin Email
Check All That Apply Which best describes your agency?
Non-profit
PA Waiver Provider agency (ODP, OLTL, BAS)
We accept insurance
We serve children
We serve adults
We operate under managed care organization
If you selected non-profit, would you be willing to make a monetary donation to this website?
Yes
No
Not applicable
Check All That Apply I want to hire:
Direct Support Professionals for Home and Community Based Services
Direct Support Professionals for group homes or Intermediate Care Facilities
Behavior Specialists
Other
If you selected other from the list of who you want to hire, please explain.
Your website:
Upload your employment application
Choose File
Upload your application and onboarding requirements
Choose File
Any other things you need from this site? you can email them to umbrellafcst@gmail.com
Submit
