Employment Application

Accessibility Statement: Community Living Brant embraces a culture of diversity and inclusion and welcomes applications from all qualified persons. Physical accommodation required the hiring process or information in an accessible format will be made available upon request.

General Information

Eligibility requirements - to apply

Before applying, please read the following employment requirements, to ensure that you have the minimum necessary requirements to apply for this job.

A) Must have a valid G driver's licence, and access to a reliable vehicle with auto insurance coverage.

B) Must have Ontario Secondary School Diploma or equivalent.

C) Valid 1st Aid Certificate, an asset.

First Name *

What are your pronouns? *

Last Name *

Street Address *

City *

Postal Code *

Home Phone *

Emails address *

Are you legally entitled to work in Canada? *

Yes

No

Community Living Brant part-time staff are to commit to providing availability for three (3) 24-hour periods (7AM to 7AM) Monday to Friday every week, and two (2) 24-hour periods (7AM to 7AM) on weekend days over a two-week pay period. Part-time staff are required to be available to work on all paid statutory holidays. Please indicate which shifts you will be available to work on an ongoing basis.

*Note: Part-time staff can be scheduled up to twenty-four (24) hours per week. Being available to be scheduled does not mean that you will be scheduled for all of the hours you are available to work. Rather, it provides us with the ability to schedule you for shifts that align with the needs of the program.

Community Living Brant does not approve leaves of absences, except for leaves eligible under the Employment Standards Act within the first year of employment.

Availability

Thursday

Days

Evenings

Overnights

N/A

Friday

Days

Evenings

Overnights

N/A

Do you expect your availability to change within the next 12 months? If yes, why will it change and how? *

Are you currently working elsewhere? If yes, what is your current schedule? *

Are your currently in school? If yes, are you a part-time or full-time student? Please indicate your school schedule and date of program completion. *

How many hours per week are you available to work for Community Living Brant? *

Education

Highest Level of Education (ie: University/College/Career College/High School) *

Area of Study / Work Experience *

Diplomas, Degrees or Certificates Obtained *

First Aid/CPR Expiry Date

Confirmation of education credentials will be required as a condition of employment.

Additional Information

Community Living Brant provides services across Brant County, including Brantford, Harley, Burford and Paris. * Please note that proof of a full G Ontario driver's license or greater will be required.

Do you have an Ontario G Driver's License?

Yes

No

If your license is other, please specify.

Do you have access to a reliable vehicle? *

Yes

No

Were you referred by a Community Living Brant employee? If yes, who?

Are you comfortable performing direct care with adults including assisting with using the washroom, bathing, personal hygiene and lifting & transferring? *

Yes

No

Are you able to prepare meals using an oven, stove and in summer a bbq? *

Yes

No

Are you comfortable with providing support to people who experience anxiety, communicate differently, and are medically fragile? *

Yes

No

Are you comfortable performing the following duties: grocery shopping, laundry, mopping floors, cleaning a toilet and tidying a home? *

Yes

No

Most of our documentation is done on a computer. Are you comfortable using a computer? *

Yes

No

Goals: What interested you in applying to work for Community Living Brant? *

Goals: What are your future goals? *

Upload Resume

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Please Read Carefully and enter date - Your authorization on this application form is your consent that as a condition of being considered for employment, references about past work performance will be obtained from your current and previous employers. I certify that the information provided in this application or attachments/resume is true and complete. I understand that if any information in this application or attachments/resume is found to be untrue or incomplete, my application may be rejected or I may be dismissed in the event that I am the successful applicant. I agree with the above statement * Date © Copyright - Community Living Brant 2023

Consent Date Field *

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