Caregiver Application

647-946-5324
info@prokare.ca

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Employment Application

Fill the form below accurately indicating your potentials and suitability to job applying for.

First Name

Last Name

Gender

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Contact Information

Phone

Email Address

Emergency Contact

Full Name

Phone

Email Address

Relationship

Background Information

Have you applied to a role before with our agency?

Upload Resume *

Drag and Drop (or) Choose Files

(Outline Education as well as experience):

Skills Area

Skills:

Aspiration Prevention TechniquesCan Cook Meals (Advanced)Catheter CareColostomy CareDementia ExperienceEnteral Feeding G-TubeEnteral Feeding NF-TubeHospice ExperienceHousekeeping Light (Mandatory)Live-in Shifts OKOK with Client SmokingOxygen TherapyParaplegic CarePersonality AssertivePersonality PatientROM Exercises Stoma Care ExperienceSuppository ExperienceVentilator CareWound CareCan Handle Client WeightGait Belt Experience Sit and Stand LiftOK with CatsOK with other pers (birds, etc...)Willing to work HospitalWilling to work Retirement HomeCOVID-19 Vaccine Dose 1CPR CertificateFirst Aid CertificationMask FitPerformance EvaluationRN CertificationRPN CertificationVSS Background CheckWork/Life Survey

BIPAP/CPAPCan Cook Meals (Basic)Child Care Experience CVC/PICC LineEnternal Feeding J-TubeEnternal Feeding - PEGHousekeeping HeavyIncontinence ExperienceMedication IMMedication Subcutaneous Ostomy Care ExperiencePalliative Care ExperienceParkinson's ExperiencePersonality OutgoingPersonality PatientQuadriplegic CareSpeak Client LanguageStroke ExperienceTracheostomy CareWilling to work with COVID+TransfersCeiling LiftHoyer Lift ExperiencePetsOK with DogsFacility ApprovalsWilling to with LTCCertificateCOVID-19 Vaccine Dose 2Driver's LicenseFlu ShotPatient Safety SurveyPSW CertificateRNAO or RPNAO InsuranceTuberculosis Test WHMISOther

Language

ArabicFrenchGermanHebrewItalian MandrianPolishRussianTaglog

VietnameseEnglishFrench Creole GujaratiHinduJapanisePersianPortugesePersianPotugueseSpanishUrdu

Area

What areas of the city you are willing to take assignments:

DuramMarkhamNorth TorontoScarborough EastToronto CentralToronto WestEtobicokeMississisaugaNorth YorkScarborough WestToronto EastHamilton

How did you hear about this role? *

Professional Reference One (Mandatory)

First Name

Last Name

Phone

Email Address

Reference Relationship

Ok To Contact?

Professional Reference Two (Mandatory)

First Name

Last Name

Phone

Email Address

Reference Relationship

Ok To Contact?

Privacy Agreement

Prokare Support Services Inc staff will never verbally ask for banking information; This information will only be collected when successful candidates are completing their electronic onboarding documents. Personal information relating to the recruitment and hiring process is collected under the authority outlined in the Personal Information Protection and Electronic Documents Act (PIPEDA, Canada 2004). This information will be used to determine eligibility for employment with Prokare Support Services Inc. The use and disclosure of personal information by Prokare Support Services Inc is in accordance with PIPEDA. If you have any concerns regrading the collection, use, or disclosure of personal information, please e-mail our Privacy Officer at privacy@prokare.ca. Please see our privacy policy for further details at www.prokare.ca/privacy-policy.

CONTACT

Email: info@prokare.ca

Corporate Office: 647-243-4419
Booking: 647-513-2707
Fax: 647-493-9042
Toll-free 1-833-387-7449

ADDRESS

Suite 202- 120 Matheson Boulevard East, MIssissauga Ontario, Canada L4Z 1X1

WORKING HOURS

MONDAY - FRIDAY
9:00 AM - 5:00 PM

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