job application form - Greater Vancouver Community Services Society

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Application Form

* mandatory fields

GVCSS job reference number [if any]:

* GVCSS job category: Home Support
Community Living

Step 1: CONTACT INFORMATION

* First Name:

* Last Name:

* Address:

* City:

* Province:

* Postal Code:

* Main phone:

Alternate phone:

Email:

GVCSS employee referral [if any]:

Step 2: EDUCATION

If selected for an interview, you will need to provide documentary evidence of certificates obtained. Please list most recent education first.

Diploma completed:

College attended:

Dates attended:

Diploma completed:

College attended:

Dates attended:

Diploma completed:

College attended:

Dates attended:

* All GVCSS employees must be registered on the B.C. Care Aide and Community Health Worker Registry. No, I have not registered on the Registry.
Yes, I am registered on the Registry.

Here is my BC Care Aide and Community Health Worker registration number:

Step 3: EXPERIENCE [list present or most recent employer first]

Position title:

Employer name:

Dates worked: [from - to]

Description of responsibilities:

Reason for leaving:

Position title:

Employer name:

Dates worked: [from - to]

Description of responsibilities:

Reason for leaving:

Position title:

Employer name:

Dates worked: [from - to]

Description of responsibilities:

Reason for leaving:

Step 4: AVAILABILITY

* A Community Health Worker is required to work shifts that fall within his /her stated availability, unless changes are made according to the provisions in the 2006 – 2010 Community Subsector Collective Agreement.
If a Community Health Worker is no longer available for the shifts agreed upon at this time, he/she may no longer be entitled to shifts.

Date you are available to start:

Open the calendar popup.

* Availability on Mondays: MORNING 7am-12pm (noon)
AFTERNOON 12pm- 5pm
EVENING 5pm-11pm
OVERNIGHT
LIVE-IN
not available anytime on this day

* Availability on Tuesdays: MORNING 7am-12pm (noon)
AFTERNOON 12pm- 5pm
EVENING 5pm-11pm
OVERNIGHT
LIVE-IN
not available anytime on this day

* Availability on Wednesdays: MORNING 7am-12pm (noon)
AFTERNOON 12pm- 5pm
EVENING 5pm-11pm
OVERNIGHT
LIVE-IN
not available anytime on this day

* Availability on Thursdays: MORNING 7am-12pm (noon)
AFTERNOON 12pm- 5pm
EVENING 5pm-11pm
OVERNIGHT
LIVE-IN
not available anytime on this day

* Availability on Saturdays: MORNING 7am-12pm (noon)
AFTERNOON 12pm- 5pm
EVENING 5pm-11pm
OVERNIGHT
LIVE-IN
not available anytime on this day

* Availability on Fridays: MORNING 7am-12pm (noon)
AFTERNOON 12pm- 5pm
EVENING 5pm-11pm
OVERNIGHT
LIVE-IN
not available anytime on this day

* Availability on Sundays: MORNING 7am-12pm (noon)
AFTERNOON 12pm- 5pm
EVENING 5pm-11pm
OVERNIGHT
LIVE-IN
not available anytime on this day

Step 5: COVER LETTER AND RESUME

Attach resume Clear

Step 6: QUESTIONAIRE

* Do you have a Class 4 Drivers License? Yes
No

* Have you been previously employed by GVCSS? No
Yes

If yes, in which year did you leave GVCSS?

* What languages are you fluent in (both verbal and written)?

Are there any other experiences, skills, or qualifications which you feel would especially prepare you for this position?

* As we do have a Nepotism Policy in place, we require applicants to list all relatives and family members working for GVCSS.
Relatives and family members are defined as: spouse, common-law spouse, brother, in-laws, grandparent, grandchild, legal guardian, legal ward, or any other person permanently residing in the same household as you. No, I do not have any relatives/family members working for GVCSS.
Yes, I do have relatives/family members working for GVCSS.

If yes, what is your relative's name:

Relationship to applicant:

* Are you legally entitled to work in Canada? Yes
No

* I hereby certify that the information contained in this application is true to the best of my knowledge. I understand that the Employer may conduct or require an investigation on any matters contained in this application and hereby authorize the Employer to do so. I further agree and understand that any false statements made in this application may cause me to forfeit any claims on my part to employment with this organization. Yes

Latest News

GVCSS Offers Private Home Care Services

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Learn more about our private home care services - and watch our first Vlog!

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Read how our supporters helped us complete a major home repair project in Community Living.

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4/5/2019 3:45:00 PM

Our very own Maria Moeller is leading safety in health care!