Senior Care Connect Caregiver Sign Up

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First name *

Last name *

Email *

Password *

Phone number

What is your availability to work (i.e weekends, Monday to Friday, evenings only, certain days of the week etc) *

What areas of the city would you work in (i.e Scarborough, Downtown, North York, Markham, Pickering etc) *

Submit a photo of yourself (jpg, png)

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Submit a video of yourself (mp4)

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What is your professional designation (i.e PSW, RPN, nursing student, PSW student, etc) *

Certification Document (pdf)

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Resume (pdf)

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Other Supporting Document. CPR or other training etc. (pdf)

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Do you have a clear police screen/check done within the last 12 months? *

Yes

Upload police check (pdf)

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How many years of experience do you have providing care to elderly/seniors? *

How much do you charge per hour? (i.e $18/hr, $21/hr, etc) *

Families often want to know about a caregiver's personality to help match the right person with their loved one. Please share some of your interests or hobbies? (Example: Travelling, Reading, Playing soccer, spending time with family, going to the movies, etc) *

What made you decide on a career in caregiving/Why did you want to become a caregiver? *

Other Comments

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