Apply for Personal Support Worker (PSW) - Embrun and Surrounding Areas - DL

Job Openings >> Personal Support Worker (PSW) - Embrun and Surrounding Areas - DL >> Apply

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:	Personal Support Worker (PSW) - Embrun and Surrounding Areas - DL
ID:	2514
Campaign Start Date:	03/28/2025
Location:	Embrun, Ontario
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* Province/State:
* Zip/Postal Code:
* Phone:
* Email:
Attachments
* Resume:	Supported formats: Word, PDF, RTF, Text, and HTML.

	- or Upload from:


Cover Letter:	You can type in a Cover Letter or Copy/Paste from an existing document.

Application Questionnaire

Choice Homecare Healthcare offers service that focuses on providing the best quality of life for our clients and peace of mind for their families. We provide one on one client care services in-home, in hospital or at Long Term Care Facilities/Retirement Homes.

* Are you eligible to work in Canada?

	Yes
	No

* Please indicate your eligibility to work in Canada

	Canadian Citizen
	Permanent Resident
	Open Work Permit

* Do you have a valid drivers license?

	Yes
	No

* Do you own your own vehicle?

	Yes
	No

* Do you have experience working in the healthcare industry?

	Yes
	No

* Please choose your certification level:

If "OTHER", what certifications do you have?

If you have the following valid certifications, please provide the date when they were obtained.

Support Worker (PSW/HSW/HCA)

PSW/HSW/HCA Certificate Obtained:

College of Nurses (CNO) Registration

CNO Obtained:

Vulnerable Sector Police Check (must be valid within the past 12 months)

VSC Obtained:

TB Screening (must be completed within the past 12 months)

TB Screening:

Choice Homecare Healthcare accommodates our clients needs by offering PSW services 24 hours a day, 7 days a week. We require competent caregivers that want to give their best to their clients, whenever the clients need them.

* Please indicate the date you are available to begin work.

* Are you available to work flexible shifts?

	Yes
	No

Please list any days you are not available to work.

* Sunday

* Monday

* Tuesday

* Wednesday

* Thursday

* Friday

* Saturday

* Please select all that you have experience with.

* Please select the equipment you have experience with:

* Please list all the languages that you speak/read/write:

At Choice Homecare, we require every applicant to provide two professional references. References will be contacted by email and/or phone. By completing this form you are granting Choice Homecare express authorization to conduct the mandatory reference check.

Professional Reference 1
Name

Professional Reference 1
Email Address

Professional Reference 1
Phone Number

Professional Reference 2
Name

Professional Reference 2
Email Address

Professional Reference 2
Phone Number

Signature

Date

I agree that this form may be electronically signed and agree that my typed signature is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.

Submit

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	Personal Support Worker (PSW)
	Home Support Worker (HSW)
	Health Care Aide (HCA)
	Foreign Trained Nurse
	Foreign Trained Doctor
	Uncertified
	Other

	Morning
	Afternoon
	Evening
	Overnight
	Not Available

	Morning
	Afternoon
	Evening
	Overnight
	Not Available

	Morning
	Afternoon
	Evening
	Overnight
	Not Available

	Morning
	Afternoon
	Evening
	Overnight
	Not Available

	Palliative Care
	Dementia/Alzheimer's Care
	Parkinson's Disease
	Acquired Brain Injuries
	Mental Health
	ALS Care
	Strokes
	Post-Op/Rehab
	Cardiac Care
	Geriatrics
	Diabetes
	Wound Care
	None of the above

	Blood Sugar Monitor
	Wheelchair/Walker
	Hoyer Lift
	Colostomy
	Oxygen
	Catheter
	Feeding Tube
	CPAP/BiPAP
	Pulse Oximeter, BP Cuff, Stethoscope
	None of the above