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Application for Employment
Fill out the form below.
Date Available to Begin Work
Position
*
PSW Student Aide
Housekeeper/Dietary Aide
Personal Support Worker
Team Leader/RN
Date Available to Begin Work
*
Personal Data
First Name
Last Name
Street Address
City or Town
*
Postal Code
*
Home Phone
Cell Phone
Email
*
Are you legally eligible to work in Canada?
*
Yes
No
Education
To determine your qualification for employment, please provide below information related to your academic and other achievements including voluntary work, as well as employment history.
Highest Level of Education Completed
*
High School Graduate
GED or Equivalent
Some College/University
College Diploma
Bachelor's Degree
Master's Degree
Doctoral Degree
Certificate, Diploma or Degree Awarded
Name of Program
Year Graduated
Other courses, workshops, seminars...
Employment
Present/Last Employer
*
Location
*
Job Title
*
Period of Employment
*
Salary
*
Name of Supervisor
*
Phone Number
Duties and responsiblities...
*
Reason for leaving...
*
Additional Information
Activities (civic, athletic, volunteer)
Resume
Resume
*
Accepted file types: doc, docx, pdf, txt, rtf, Max. file size: 100 MB.
Terms + Agreement
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.
The North Renfrew Long-Term Care Centre is a smoke-free work place.
All employees are required to have an annual flu shot.
All employees are required to provide a clear criminal record and vulnerable sector check.