Application Form
Personal Details:
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Date of Birth
-
Month
-
Day
Year
Date
Do you own a personal vehicle and valid driver's license?
Yes
No
Other
Have you worked as an independent contractor before?
Yes
No
Have you worked remotely before?
Yes
No
Do you have ongoing access to a private workspace and computer with a stable internet connection?
Yes
No
Other
Employment Expectations:
Position Applying For
Part Time Consultant (Virtual)
Part Time Consultant (In-Person)
Date You Can Start
-
Month
-
Day
Year
Date
Availability which you are available to work from start date
Rows
Morning
Afternoon
Evening
Anytime
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
How many hours / week are you hoping to work?
1-5 hours/week
5-8 hours/week
9-15 hours/week
16-20 hours/week
Open to anything
Desired Salary
Education and Qualifications:
Please select your highest level of education (completed)
Highschool
College
University
Other
Number of Years Attended
Area of Study/Degree
Are you currently enrolled in other programs or studies?
Yes
No
Other
Area of Study/Degree
Copy of any and all credentials, including academic certificates
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Skills and Interests:
Please select your areas of interest:
Leading group virtual Fitness and Recreation therapy programs
Leading 1:1 virtual Fitness and Recreation therapy programs 2
Leading virtual workshops
Leading a Virtual Day Program
Leading in-person workshops (when possible)
Leading in-person outdoor sessions (when possible)
Leading in-person indoor sessions (when possible)
Other
What unique skills do you have that may be beneficial to our organization?
List any relevant skills
Share a program or activity idea (virtual or in-person) that may be beneficial for our members, based on what you know about our organization:
(Explain the program type, population, simple description and reasoning)
Cover Letter and Resume:
Cover Letter
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Resume
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Provide electronic money transfer (e-transfer) information to be used for bi-weekly or monthly payment
Email
Send Application:
By clicking the submit button below, I certify that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected.
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