HSW Application - Kindred Home Care

What position are you applying for?*

Region*

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Source

First name*

Last name*

Gender

Male
Female
Other

Address*

Street Address City 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?*

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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*

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.

Application Form

We thank all applicants for their interest in Kindred Home Care!