Activities Host Application Form

Activities Host Application Form

Apply to become an Activities Host with Caribbean Home Help – Lifestyle Centre. Please complete all relevant sections accurately before submitting your application.
- Full name*
  
  First NameLast Name
- Date of birth*
  
  MonthDayYear
  Date
- Home address*
  
  Street Address
  
  Street Address Line 2
  CityState / ProvincePostal / Zip Code
- Primary contact number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Secondary contact number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email address*
  example@example.com
- Activities Host
- Full-timePart-timeCasual / On-callTemporary / SeasonalOther
- Weekdays (daytime)Weekdays (evenings)Weekends (daytime)Weekends (evenings)Public holidaysOther
- YesNo
- YesNo
- Leading group activitiesWorking in a senior care facilityHome care or support workTeaching, coaching, or facilitationEvent planning or recreation programmingCustomer service or hospitalityVolunteer work with seniorsOther relevant experience
- Briefly describe your experience working with seniors and/or in similar roles*
- List any relevant qualifications, training, or certifications
- Why are you interested in the Activities Host role at Caribbean Home Help – Lifestyle Centre?*
- What personal qualities and skills do you have that would help you engage and support seniors in group activities?*
- Describe a time you handled a challenging situation with a client, customer, or participant. What did you do and what was the outcome?*
- Give an example of an activity or program you would like to run for seniors and how you would make it inclusive and enjoyable.
- YesNoWith reasonable adjustments
- NoYes
- If yes, please provide brief details (optional)
- YesNo
- NoYes
- If yes, please provide brief details (you may be asked to provide further information during recruitment)
- Reference 1 – full name*
  
  First NameLast Name
- Reference 1 – relationship to you*
- Reference 1 – contact number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Reference 2 – full name*
  
  First NameLast Name
- Reference 2 – relationship to you*
- Reference 2 – contact number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Applicant signature*
  
  Powered by Jotform SignClear
- Date of declaration*
  
  MonthDayYear
  Date
- Please verify that you are a real person*
Should be Empty: