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George Boyack – 3rd Floor - Complex Continuing Care
Full name ✱
Pronouns
Let the employer know what pronouns you use so that they can address you correctly.
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Do you have active registration in good standing with CLPNA? ✱
Are you currently certified in BLS/CPR? ✱
How many years of experience do you have as an LPN? ✱
What care settings have you worked in? (check all that apply) ✱
Do you currently own a line at another employer? ✱
If you answered yes, what is the FTE of your line? If no, please type N/A below ✱
Do you have Connect Care Training? ✱
The role of the casual employee is to fill in when regular employees are not able to work. You can be scheduled shifts in advance; however, you may also receive a last-minute call to work on the same day. Please indicate your availability:
Days of the week you are available to work ✱
Shift times you are able to work ✱
Legal entitlement to work in Canada ✱
Current employment status at Carewest
Previous employment with Carewest ✱
I authorize Carewest to collect all relevant personal information. I understand this information will be kept confidential and used solely for my employment application with Carewest. ✱
Reference #1 (Name, phone number, email required) ✱
Reference #2 (Name, phone number, email required) ✱
Reference #3 (Name, phone number, email required) ✱
We prefer references in senior roles within the reporting structure. Please list the job title and reporting relationship of each reference ✱