Employment Application Form - AiMHi - Prince George Association for Community Living

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Tell us about yourself:

Date:

MM slash DD slash YYYY

Job Position

Name:(Required)

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone:(Required)

Email:(Required)

Position applying for:(Required)

Competition number:

Have you worked for AiMHi previously?(Required)

Yes

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

If yes, by whom?

AiMHi minimum hiring requirements are:

• Grade 12 or equivalent. Do you have this? (must provide proof)(Required)

Yes

• Must be 19 years of age(Required)

Yes

• Experience in supporting people/children with developmental disabilities(Required)

Yes

• Eligible to work in Canada(Required)

Yes

• 3 recent work related references(Required)

Yes

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

• BC Driver’s License – class 5 (or equivalent) (will require proof upon employment)(Required)

Yes

• Do you have an international drivers license?(Required)

Yes

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

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 History

Current/Last position Title:

Company Name:

Responsibilities:

Dates of Employment:

Reason for leaving:

Supervisor Name:

Contact Number:

May we contact them:

Yes

Add Another Employer:

Yes

Current/Last position Title:

Company Name:

Responsibilities:

Dates of Employment:

Reason for leaving:

Supervisor Name:

Contact Number:

May we contact them:

Yes

Add another employer:

Yes

Current/Last position Title:

Company Name:

Responsibilities:

Dates of Employment:

Reason for leaving:

Supervisor Name:

Contact Number:

May we contact them:

Yes

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

Vaccination 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.

Declaration

I 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)

Please attach your resume here (PDF or Word Document):(Required)

Accepted file types: pdf, doc, docx, Max. file size: 500 MB.

Tell us about yourself:

AiMHi minimum hiring requirements are:

Other Requirements:

Availability:

Education:

Employment History

Declaration

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