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I am interested in working in one or more of the following locations:
I am applying to work as a:
How did you learn about this position?
When are you available to begin work?
I am interested in working:
Desired hours per week:
I am available to work shifts in:
Desired hourly wage: $
Do you have a drivers licence and reliable vehicle?
Are you willing and able to participate in a security screening process and obtain a Vulnerable Sector Check through the OPP as part of the application process?
Are you legally entitled to work in Canada?
Have you ever been convicted of a criminal offence for which a pardon has not been granted?
Are you 18 years of age or older?
Highest level of Education obtained
What is your highest level of education?
Other Relevant courses, workshops, seminars:
Name and Address of present / last employer:
Period of Employment ( dates form when to when )
Reason for leaving:
Supervisor / Manager's Name and phone #:
For employment references may we approach your present/last employer?
What are a few of your personal interests and hobbies?
In a few words, please describe why you are interested in working with seniors?
I hereby declare that the foregoing information is true and complete to my knowledge. I understand that a false statement may disqualify me from employment, or cause my dismissal
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