Come Work with Us

Application For Employment

First Name

Last Name

Address

Email

Phone

Have you worked for us before?

Yes

No

Indicate if you are looking for: (Check all that apply)

Full-time

Part-time

Casual

If part-time or casual, how many hours per week would you like to work?

If hired, do you have reliable transportation to get to work?

Yes

No

Date

Are you able to provide a clear criminal record check?

Yes

No

Are you able to provide clear child and adult abuse registry checks?

Yes

No

Do you have a driver's license?

Yes, Class 5

Yes, Class 4

Yes, other

No

What is your expected rate of pay (per hour)?

State any other experiences, skills, or qualifications that you feel are relevant to your application for employment.

Upload Your Resume - PLEASE INCLUDE 3 REFERENCES

Upload file

If you do not have a resume to upload, please fill out the below additional fields. If you have uploaded your resume with references please only complete the last question.

Okay

Highest level of education attained:

Do you have any additional specialized training (such as First Aid, NVCI, Health Care Aide,etc.)?

Please provide the name, address, and telephone number of your most recent employer (if applicable)

May we contact this employer?

Yes

No

Please provide the name, address, and telephone number of a past employer (if applicable)

May we contact this employer?

Yes

No

Please provide the name, address, and telephone number of an additional past employer (if applicable)

May we contact this employer?

Yes

No

I certify that the facts in the above application are true and complete to the best of my knowledge. I understand that false statements on this application shall be considered cause for dismissal.

Agree

Disagree

Thanks for applying! We’ll be in touch soon.