Step 1 of 4 25% Tell us about yourself:Date: MM slash DD slash YYYY Job PositionPosition Applying ForGeneral Application2022-008R Residential Care Worker 40 Hours / week2022-007R Residential Care Worker 40 Hours / week MALE APPLICANTS ONLY2022-004R Residential Care Worker 32 Hours / week2022-002R Family Support Worker 30 Hours / week2021-229 Manager / Full TimeRelief Residential Care WorkerName:(Required) First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home PhoneCell Phone:(Required)Email:(Required) Position applying for:(Required) Competition number: Have you worked for AiMHi previously?(Required) Yes No If yes, what were your dates of employment? (From Date, To Date) Are you interested in:(Required) Full Time Part Time Relief Seasonal/Temporary How did you hear about this opportunity? Were you referred by an AiMHi employee?(Required) Yes No If yes, by whom? AiMHi minimum hiring requirements are:• Grade 12 or equivalent. Do you have this? (must provide proof)(Required) Yes No • Must be 19 years of age(Required) Yes No • Experience in supporting people/children with developmental disabilities(Required) Yes No • Eligible to work in Canada(Required) Yes No • 3 recent work related references(Required) Yes No Other Requirements:Citizenship:(Required) Canadian Citizen Permanent Resident Other • Criminal Record Search will be required. Have you ever committed a crime and/or received a pardon(Required) Yes No • BC Driver’s License – class 5 (or equivalent) (will require proof upon employment)(Required) Yes No • Do you have an international drivers license?(Required) Yes No If you have an international drivers permit, from what country? Availability: Please specify your availability by checking the appropriate boxes below.Sunday Morning Day Evening Overnight Monday Morning Day Evening Overnight Tuesday Morning Day Evening Overnight Wednesday Morning Day Evening Overnight Thursday Morning Day Evening Overnight Friday Morning Day Evening Overnight Saturday Morning Day Evening Overnight Do you have any scheduled vacation plans or time off in the next 6 months to a year?(Required) Yes No Education: Tell us the highest or equivalent level completed:High School Dates Attended: High School Date Completion: Post-Secondary Dates Attended Post-Secondary Date Completed: Type of Certification/ Diploma/ Degree Received: List other relevant qualifications, skills, volunteer work, life experiences, etc. Employment HistoryCurrent/Last position Title: Company Name: Responsibilities: Dates of Employment: Reason for leaving: Supervisor Name: Contact Number: May we contact them: Yes No Add Another Employer: Yes No Current/Last position Title: Company Name: Responsibilities: Dates of Employment: Reason for leaving: Supervisor Name: Contact Number: May we contact them: Yes No Add another employer: Yes No Current/Last position Title: Company Name: Responsibilities: Dates of Employment: Reason for leaving: Supervisor Name: Contact Number: May we contact them: Yes No References: Provide the name, company/position and contact information for at least 3 Work/ Professional related references.Reference Type: A: Current Immediate Supervisor B: Former Supervisor C: Other: Please Specify Name: Position/Company: Phone: *Reference Type Name: Position/Company: Phone: *Reference Type Name: Position/Company: Phone: *Reference TypeVaccination Declaration(Required)AiMHi’s positions are covered by the Provincial Health Officer’s mandatory COVID-19 vaccination orders and applicants must comply. By submitting this application, I confirm that I am fully vaccinated against COVID-19 (at least 7 days past second dose of vaccine), have vaccine exemption or am applying for a vaccine exemption. I also confirm that I will provide proof of vaccination or proof of exemption to AiMHi Human Resources. I understand and agree to the above statement(s), and will provide supporting documentation as required. DeclarationI certify that the information on this application is correct and I understand that any misrepresentation or omission will result in my disqualification from consideration for employment. With my signature, I also hereby gave AiMHi Prince George Association for Community Living permission and authorization for indirect collection of work-related information, including from social media and former employers not used as references, to determine my fitness for work.Signature:(Required) Signed Date:(Required) Please attach your resume here (PDF or Word Document):(Required)Accepted file types: pdf, Max. file size: 500 MB.