General Job Application

Step 1 of 8

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Personal Information

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone(Required)

Other Phone

Email(Required)

Employment Information

Registry/LPN Number

Areas you are willing to work in(Required)

Administrative/Leadership

Community Health Worker - REG

Community Support Worker

Cook

HCA Facility (Care Aide Complex Care)

LPN Community

LPN Facility

RCA AL (Resident Care Aide Assisted Living)

Recreation Activity Aide

Registered Nurse

Rehab Assistant

Residential Support Worker

Supervised Access Worker

Support Worker Facility (Housekeeper, Laundry, Dietary AIde)

What communities are you available to work in or travel to?

Kamloops and surrounding communities

Vernon and surrounding communities

Cranbrook and surrounding communities

Other

Do you have current certification for CPR Level C(Required)

Yes

Do you have current First Aid(Required)

Yes

Do you have a Food Safe Certificate?(Required)

Yes

Do you have WHMIS?:(Required)

Yes

Are you available on short notice for assignments?(Required)

Yes

Are you available to work on weekends?(Required)

Yes

Are you available to work nights?(Required)

Yes

Do you have a valid driver’s license & vehicle insurance?(Required)

Yes

Some of our roles require our staff to drive clients to appointments and day-to-day activities.

Do you have a reliable vehicle?(Required)

Yes

Some of our roles require our staff to drive clients to appointments and day-to-day activities.

Are you currently employed?(Required)

Yes

If yes, where and what hours?

What type of hours are you looking for?(Required)

Full Time

Part Time

Casual

What languages do you speak?(Required)

Availability

Monday Availability

Morning

Afternoon

Evening

Nights

Please check all that apply.

Tuesday Availability

Morning

Afternoon

Evening

Nights

Please check all that apply.

Wednesday Availability

Morning

Afternoon

Evening

Nights

Please check all that apply.

Thursday Availability

Morning

Afternoon

Evening

Nights

Please check all that apply.

Friday Availability

Morning

Afternoon

Evening

Nights

Please check all that apply.

Saturday Availability

Morning

Afternoon

Evening

Nights

Please check all that apply.

Sunday Availability

Morning

Afternoon

Evening

Nights

Please check all that apply.

Education, Training, and Work Skills

List

Education, training, volunteer eperience, health or home-care experience

Dates of this training/experience

Please comment specifically on your experience supporting individuals with: Alzheimer’s, Dementia, or Brain Injuries

Please comment specifically on your experience supporting individuals with: Wound Care, Post-Operative or Rehab Needs

Please comment specifically on your experience supporting individuals with: Seniors “Aging in Place” and/or supporting children or adults with special needs

Resume Upload

Drop files here or

Accepted file types: pdf, jpg, png, doc, docx, , Max. file size: 10 MB, Max. files: 3.

Please upload your resume in pdf, .docx, .doc, or .jpg format.

Most Recent/Current Employer

Please provide the following information for your most recent/current employer.

Employer Name (Most Recent/Current)(Required)

Job Duties (Most Recent/Current Employer)

Reason for Leaving (Most Recent/Current Employer)(Required)

Do you have dates of employment and contact details for this employer on your resume that will be attached? (Most Recent/Current Employer)(Required)

Yes

Contact Details (Most Recent/Current Employer)

Please list dates of employment, address, phone number, and manager name

May we contact this employer for a reference? (Most Recent/Current Employer)

Yes

Second Most Recent/Current Employer

Please provide the following information for your second most recent/current employer.

Employer Name (Second Most Recent/Current)(Required)

Job Duties (Second Most Recent/Current Employer)

Reason for Leaving (Second Most Recent/Current Employer)(Required)

Do you have dates of employment and contact details for this employer on your resume that will be attached? (Second Most Recent/Current Employer)(Required)

Yes

Contact Details (Second Most Recent/Current Employer)

Please list dates of employment, address, phone number, and manager name

May we contact this employer for a reference? (Second Most Recent/Current Employer)

Yes

Third Most Recent/Current Employer

Please provide the following information for your third most recent/current employer.

Employer Name (Third Most Recent/Current)(Required)

Job Duties (Third Most Recent/Current Employer)

Reason for Leaving (Third Most Recent/Current Employer)(Required)

Do you have dates of employment and contact details for this employer on your resume that will be attached? (Third Most Recent/Current Employer)(Required)

Yes

Contact Details (Third Most Recent/Current Employer)

Please list dates of employment, address, phone number, and manager name

May we contact this employer for a reference? (Third Most Recent/Current Employer)

Yes

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Comments

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