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Application Form
We thank all applicants for their interest in Kindred Home Care!
What position are you applying for?
*
Home Support Worker
Region
*
--please select--
Carleton County and surrounding area
Victoria County and surrounding area
Fredericton and surrounding area
Grand Manan
Moncton and surrounding area
Sackville and surrounding area
Saint John and surrounding area
St. George and surrounding area
St. Stephen/St. Andrews and surrounding area
Kings County
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Source
First name
*
Last name
*
Gender
Male
Female
Other
Address
*
Street Address
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
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How many minutes are you willing to drive for a minimum 2 hour shift?
Please enter a number from
0
to
100
.
Home phone
Cell phone
Email address
*
Are you 19 years of age or older?
*
yes
no
Age Range (optional)
19-25
26-35
36-45
46+
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Availability
Please select all that apply
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays
Holidays
Describe Your Weekly Availability
How did you hear about us?
*
Job Bank
Employee Referral
Client Referral
LinkedIn
Facebook
Kijiji
Indeed
Career Beacon
Newspaper
Other
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Are you a smoker?
Yes
No
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Are you comfortable with pets?
Yes
No
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Do you own your own vehicle?
Yes
No
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How many hours are you prepared to work per week?
*
Transportation Method
*
Own Vehicle
Shared Vehicle
Rides with family/friends
Walks/cycles
Public Transportation
Taxi
Language
*
English Only
French Only
Bilingual (Prefers English)
Bilingual (Prefers French)
Other
Other Language
*
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Number of years experience in the care industry?
E.g. child care, nursing home, special care home, home care, health care.
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Willing to take training?
Yes
No
Additional Comments
Upload a copy of Resume here
Max. file size: 256 MB.
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Please upload a copy of your cover letter, if available.
Accepted file types: pdf, Max. file size: 256 MB.
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