CareCompany Employment Application Form (Skills)

Employment Application

Fill the form below accurately indicating your potentials and suitability to job applying for.
Name:*

First NameLast Name
Gender:*
Address*

Street Address

Street Address Line 2

CityState/Province

Postal CodeCountry
Province
Contact Information
Phone Number:*
E-mail Address:*
example@example.com
Emergency Contact

Please enter you emergency contact information below
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Relationship
Background Information
Have you applied to a role before with our agency?*
Upload Resume (Outlining Education as well as experience):*

Please do not include spaces/special characters to the file name, Good example: "Resume.pdf"
Cancelof
Skills:*

Aspiration Prevention TechniquesBIPAP/CPAPCan cook Meals (Advanced)Can Cook Meals (Basic)Catheter CareChild Care ExperienceColostomy CareCVC/PICC lineDementia ExperienceEnema ExperienceEnteral Feeding G-TubeEnteral Feeding J-TubeEnteral Feeding NF-TubeEnteral Feeding- PEGHospice ExperienceHousekeeping HeavyHouseKeeping Light (mandatory)Incontinence ExperienceLive-In Shifts OKMedication IMMedication IVMedication SubcutaneousOK with Client SmokingOstomy Care ExperienceOxygen TherapyPalliative Care ExperienceParaplegic CareParkinson's ExperiencePersonality AssertivePersonality OutgoingPersonality PatientPersonality Reserved/ShyPressure Ulcer PreventionQuadriplegic CareROM ExercisesSpeak Client LanguageStoma Care ExperienceStroke ExperienceSuppository ExperienceTracheostomy careVentilator CareWilling to Work with COVID+Wound CareCan Handle Client WeightCeiling LiftGait Belt ExperienceHoyer Lift ExperienceSit and Stand LiftOK with CatsOK with DogsOk with Other pets (birds etc...)Willing to work HospitalWilling to work LTCWilling to work Retirement homeCOVID - 19 Vaccine Dose 1COVID - 19 Vaccine Dose 2COVID - 19 Vaccine Dose 3COVID - 19 Vaccine Dose 4CPR CertificationDriver's LicenseFirst Aid CertificationFlu ShotMask FitPerformance EvaluationRNAO or RPNAO InsuranceTuberculosis TestVSS background checkWHMIS
Languages:

ArabicCantoneseCroatianEnglishFarsiFrenchFrench CreoleGermanGreekGujaratiHebrewHindiHungarianItalianJapaneseMandarinPersianPolishPortuguesePunjabiRussianSpanishTagalogUrduVietnamese
What areas of the city you are willing to take assignments:

EtobicokeMarkhamMississaugaNorth TorontoNorth YorkScarborough EastScarborough WestToronto CentralToronto EastToronto WestAjaxBowmanvilleCourticeOshawaPeterboroughPickering
Availability (Anticipated or ideal number of hours you can work weekly)*
How did you hear about this role? *
- Reference First Name*
- Reference Last Name*
- Reference Email
- Reference Phone*
- Reference Relationship*
- Ok To Contact?*
- Reference First Name*
- Reference Last Name*
- Reference Email*
- Reference Phone*
- Reference Relationship*
- Ok To Contact?*
- Reference First Name
- Reference Last Name
- Reference Email
- Reference Phone
- Reference Relationship
- Ok To Contact?
- Privacy Agreement
  
  The Care Company staff will never verbally ask for banking information. This will only be collected when successful candidates are completing their electronic onboarding documents. Personal information related to the recruitment and hiring process is collected under the authority outlined in the Personal Information Protection and Electronic Documents Act (PIPEDA, Canada 2004). This information will be used to determine eligibility for employment with The Care Company. The use and disclosure of personal information by The Care Company is in accordance with PIPEDA. If you have any questions about the collection, use, or disclosure of personal information, please e-mail our Privacy Officer at privacy@carecompany.com. Please see our privacy policy for further details at www.carecompany.com.
- Should be Empty:

Employment Application

Contact Information

Emergency Contact

Background Information

Privacy Agreement