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Choosing a caregiver
For a FREE in-home consultation call 1-866-966-1466
Please tell us about yourself: * name and phone number are required fields
Primary phone number*:
Secondary phone number:
Please tell us a little bit about why you are applying to work for Careforce. (i.e. what is it about Careforce that interests you)?
At Careforce, we like to recognize our employees when they refer new employees to our organization. Did a current Careforce employee encourage you to apply for this position? If so, please indicate their name in this space.
Please tell us about your educational achievements and other professional standards by checking all that apply:
I have a valid certification in Standard First Aid/CPR Level C
Completed high school
Attended post-secondary education
Completed post-secondary education
I have a valid WHMIS certification
I have completed the Continuing Care Assistant(CCA) program
I am a qualified Personal Care Worker (PCW)
I am a qualified Personal Support Worker (PSW)
I am a qualified Home Support Worker (HSW)
I have a valid licence and a reliable, insured automobile
I have completed a food handler's certification course
Palliative Care Course
Mental Health First Aid
I have completed an Alzheimer or Dementia care course
I have recently (within the past three months) had a criminal record check
I have regular access to email
I have regular access to telephone
Do you have other educational or training achievements or personal experience you feel would be beneficial to Careforce? If so, please tell us about them here.
How many years of previous experience do you have as a personal caregiver?
No previous experience
1 month - 1 year of experience
More than 1 year - 5 years experience
More than 5 years - 10 years experience
More than 10 years experience
In a facility (i.e. nursing home)
With a home care agency
What are the top THREE skills that you possess that you feel would make you an outstanding caregiver?
Please tell us a little bit more about your availability and expectations
Preferred start date:
Expected rate of pay:
Are you willing to travel 30-50km from your home in order to provide care for a client?
Approximately how many hours of employment per week would you be seeking with Careforce?
Part-time: 0-40 hours
Full-time: 30+ hours
Are you seeking this position as primary or supplemental employment?
Caregivers are expected to be available alternate weekends. Below is an opportunity for you to indicate your general availability. Please indicate all times of day you would be available to work.
If asked, can you provide three positive business references (i.e. supervisor, teacher, employer, co-worker, co-volunteer) who will expect to be called?
Other (please specify)
What other things would you like Careforce to consider about you as we review your application and resume?
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