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password, you can save your application and continue the process at a
later time. In the future, you will also be able to log in to our client
area. |
Login and Password Information |
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User Name:*
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Password:*
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Contact Information |
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First Name:*
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Last Name:*
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Address:*
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City:*
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Postal/Zip Code:*
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Country:
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Home Phone:*
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Do you want a family to reach you this way?
Yes
No |
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Mobile Phone:*
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Valid Email Address:*
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Best Time to Call:
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Gender:
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Work Information |
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Type of Caregiver:
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I
am willing to take and/or show the results of a medical test that
proves that I am in good health and that I am able to take care of my
clients with no added risk to their health:
Yes
No |
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Accommodation:
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Years of Experience:
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I am working now:
Yes
No |
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I am currently working as:
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Languages:
Other Languages:
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I have a valid driver license:
Yes
No |
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I have my own vehicle:
Yes
No |
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Salary |
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I would like to be paid:
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If Hourly, preferred range/hour:
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If Salary, preferred range/month:
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Picture |
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Upload Photo:
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Education |
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My highest level of Education:
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Other:
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Name of School(s):
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Name of Program(s) finished:
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Certification(s) |
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First Aid Certificate:
Yes
No |
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Legal |
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I am legally entitled to work in Canada and can provide proof if required?
Yes
No |
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Caregiver Comments |
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Add to your publicly viewable profile. Please use this area to sell yourself to perspective employers:
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Optional Personal Information |
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Marital Status:
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Do you have Children?
Yes
No |
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If yes, how many children?
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Date of Birth(DD/MM/YYYY):
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Do you smoke?
Yes
No |
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Specialized Training and Skills |
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My References |
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