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We are currently looking for compassionate, caring, capable and dependable Caregivers who are interested in making a
difference by providing in-home, non-medical care to the our elderly Clients. Some of our Caregivers are active seniors themselves
who develop long-term, satisfying relationships with our clients.
Please note that in order to be considered for employment, you must successfully pass criminal and background checks as well as be able to
provide at least 3 business related references.
We provide fulltime, part-time and shift schedules. Interested candidates please fill out and
submit the information required below.
Please read carefully
The below statements are correct to the best of my knowledge. I understand that any misrepresentation may disqualify me from employment or
be cause for my dismissal.
I understand that as a Caregiver for 3Cs Home Care Services Inc., I will be responsible for my own transportation. By submitting my
Application online, I am attesting that I have read and understood the information contained above.
EMPLOYMENT APPLICATION |
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| To contact us please enter your information below: |
| *Last Name
Middel Name
First Name
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| Address
Apt#/Unit
*City
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Postal Code
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Nearest Major Intersection to your Place of Residence
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| * Do you have a reliable means of transportation to get to work?
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| *Contact email
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| Have you ever been convicted of a criminal offence for which you have not been pardoned? |
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| Are you bondable? (Answer only if relevant to the position applied for) |
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| Please indicate the type of appointment you will accept |
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| Please indicate the shifts you would like to work |
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| What type of work are you interested in doing? |
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EMPLOYMENT PROFILE
(Please list in order starting with your present or most recent job): |
| EMPLOYER 1 |
| Present or Most Recent Employer Name |
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| Address |
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| Type of Business |
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| Your Job Title |
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| Period Employed |
To
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| Name and Title of Immediate Supervisor |
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| Reason For Leaving |
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| Describe Job Duties and Responsibilities: |
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| EMPLOYER 2 |
| Employer Name |
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| Address |
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| Type of Business |
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| Your Job Title |
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| Period Employed |
To
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| Name and Title of Immediate Supervisor |
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| Reason For Leaving |
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| Describe Job Duties and Responsibilities: |
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| EMPLOYER 3 |
| Employer Name |
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| Address |
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| Type of Business |
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| Your Job Title |
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| Period Employed |
To
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| Name and Title of Immediate Supervisor |
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| Reason For Leaving |
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| Describe Job Duties and Responsibilities: |
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| EDUCATION AND TRAINING: |
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Name/Location |
Date |
Diploma/Degree |
| Post Secondary |
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| Secondary/High School |
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| List any other specialized training, apprentice skills, |
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| Awards, professional designations and other education. |
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| LANGUAGES |
| English |
Read
Write
Speak
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| French |
Read
Write
Speak
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| Other, please Specify |
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