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Login and Password Information |
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User Name:
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Password:
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Contact Information |
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First Name:
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Last Name:
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Address:
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City:
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Closest Major Intersection:
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If Other, add City:
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Postal/Zip Code:
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Country:
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Home Phone:
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Do you want a family to reach you this way? Yes No |
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Mobile Phone:
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Do you want a family to reach you this way? Yes No |
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Other Phone:
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Do you want a family to reach you this way? Yes No |
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Valid Email Address:
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Do you want a family to reach you this way? Yes No |
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Best Time to Call:
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Gender:
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Work Information |
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Type of Caregiver:
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I am willing to take and/or show the results of a medical test that proves that I am in good health and that I am able to take care of my clients with no added risk to their health: Yes No |
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Accommodation:
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If you choose Live-In, would you be willing to move to another city or area for a live-in position? Yes No |
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Available to Start:
Immediately
Date: |
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Desired Hours/week:
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Years of Experience:
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Length of Commitment:
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I am working now:
Yes No |
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I am currently working as:
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I have experience working or certification in working with the mentally challenged:
Yes No |
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I have teaching experience:
Yes No |
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Languages:
Other Languages:
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I have the ability to prepare nutritionally balanced meals for my clients if applicable to my job description:
Yes No |
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I have a valid driver's license:
Yes No |
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If yes, I am willing to drive a family vehicle if requested:
Yes No |
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I have my own vehicle:
Yes No |
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If yes, I am willing to use my vehicle occasionally to take care of my client(s):
Yes No |
Salary |
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I would like to be paid:
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If Hourly, preferred range/hour:
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If Salary, preferred range/month:
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Picture |
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Uploading a picture can attract more attention to your profile when it is being searched and can increase your chances of being selected for an interview. If you do not have a picture, do not worry, you may add one after your profile is posted on our website.
Please limit the size of your picture to 1MB or less. (after you press add picture it doesn't do that it goes to login page)
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Education |
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My highest level of Education:
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Other:
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Name of School(s):
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Name of Program(s) finished:
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Certification(s) |
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First Aid Certificate:
Yes No |
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Cardiopulmonary Resuscitation (CPR) Certificate:
Yes No |
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Legal |
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I am legally entitled to work in Canada and can provide proof if required?
Yes No |
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I am willing to take or show the results of a recent police background check at my own expense?
Yes No |
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Have you ever been convicted of an offence for which a pardon was not granted:
Yes No |
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Explain:
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Caregiver Comments |
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Add to your publicly viewable profile. Please use this area to sell yourself to perspective employers:
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Optional Personal Information |
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Marital Status:
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Are you currently attending school?
Yes No |
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Do you have Children?
Yes No |
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If yes, how many children?
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Date of Birth(DD/MM/YYYY):
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Do you smoke?
Yes No |
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Specialized Training and Skills |
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My References |
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Please be advised that if you have decided to add a picture to your profile, after you press the "Submit" button it may take a few minutes for us to receive your application, depending on the speed of your internet connection. Please press "Submit" only once, and wait for our conformation. If you do not receive our conformation please re-register without a picture, and then e-mail your picture directly to us at service@caregiverlistings.com. Please be sure to include your first and last name with the picture you submit to help speed up this process. |
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Sunday, September 05, 2010