Job Title

Overview Dr. Vernon Fanning Physiotherapy Subacute Applicant information Full name Pronouns Let the employer know what pronouns you use so that they can address you correctly. Pronouns He/him She/her They/them Xe/xem Ey/em Hir/hir Fae/faer Hu/hu Use name only Custom Qualifications Active registration with CPTA in good standing Connect Care Training Documentation Please upload a copy of your Active Registration/Professional License and any additional education. Role and scheduling The casual employee role is to fill in when regular employees are not able to work; you can be scheduled shifts in advance however a lot of times you could receive a call at the last minute to come work that day. Availability Which days of the week are you available? Monday Tuesday Thursday Friday Saturday Sunday How many shifts are you available for each week? Carewest requires all casual staff to pick up a minimum of 2 shifts per week Less than 2 2-3 4+ Which shifts are you available to work? Days Evenings Nights Are there any days/times you are unable to work? Work authorization What is your current immigration or work authorization status in Canada? International Student with off-campus work eligibility (24 hours/week) Refugee Claimant with valid work permit Not currently authorized to work in Canada If you selected an option that includes a work permit, please specify the permit expiry date: If you have a valid work permit, please specify your SIN expiry date Carewest employment status Are you currently employed at Carewest? Yes No Have you previously been an employee of Carewest? Yes--I am a previous employee of Carewest I did a student placement No-I have not been an employee of Carewest, but I have received an offer of employment from Carewest in the past No I authorize Carewest to collect all relevant personal information. I understand this information will be kept confidential and used for the purposes of my employment application with Carewest. I agree Reference checks Reference #1 (Name, phone number, email required) Reference #2 (Name, phone number, email required) Reference #3 (Name, phone number, email required) We prefer that references provided are in a senior role in the reporting relationship: Please list the job title and reporting relationship of references #J-18808-Ljbffr