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Personal Information
First name:
City: *
Middle:
Province: *
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CA-AB
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Last name: *
ZIP/Postal code: *
Phone #: *
Country: *
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Mobile #:
Internal Candidate
Current address: *
Current WP Volunteer
Please use the space provided to provide your permanent address if there is a difference from the address above.
Permanent Address:
How did you hear about us?
Source: *
--None--
Career Fair
Indeed.com
Linkedin.com
Other (Please Specify)
Placement/Intership
Social Media
Website Ad
West Park Employee
West Park Website
Referred By (if not applicable enter N/A):
Newspaper Ad (Name/Date):
Website Ad (Specify):
Career Fair (Specify):
Other (Specify Source):
Additional Information
Work Authorization: *
Please select
I am authorized to work in this country for any employer
I am authorized to work in this country for my present employer only
I require sponsorship to work in this country
My status to work in this country is unknown
At the date of this application, are you over the age of 18?
At of the date of this application, are you over the age of 18?:
Please select
Yes
No
Have you ever been convicted of an offence for which you have not been pardoned?
Convicted of an Offence?:
Please select
Yes
No
If yes, please specify:
Date Available to Start: Format: M/D/YY
Salary Desired: *
Please indicate your preferences below. To select more than one option highlight and hit the Ctrl key.
Preferences:
Permanent
Temporary
Full-Time
Part-Time
Casual
4-Hour Shifts
8-Hour Shifts
12-Hour Shifts
Shifts Available to Work:
Day
Evening
Night
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Are you a former employee of West Park?
Former Employee:
Please select
Yes
No
If yes, when?:
Position/Department:
Have you previously applied to West Park?
Previously Applied:
Please select
Yes
No
If yes, indicate when:
Position/Department Name:
Have you previously been interviewed at West Park?
Previously Interviewed?:
Please select
Yes
No
If yes, interviewed when?:
Position and Department:
Employment History - Please list your 3 most recent positions since leaving school with the most recent. NOTE: If you left school recently, list Summer or other employment positions while attending school.:
Highest Education Level: *
Please select
Associates Degree
Bachelor's Degree
College Diploma
High School Diploma / GED
Master's Degree
Other
PhD
Trade or Technical School Diploma
Education:
Please list any additional courses, skills, or related qualifications which you feel are relevant to the position(s) you are applying for:
Additional Information:
Office Skills
Please check and/or state which of the following you have experience with. To select more than one option highlight and hit the Ctrl key.
Office Skills:
keyboarding - Specify WPM below
Switchboard - Specify No. of Lines below
Dictaphone
Bookeeping
Medical Terminology
Computer Programs/Applications - Please list below
Keyboarding - WPM:
Switchboard - # of lines:
Computer Programs/App.:
Conditions Of Employment - Please Read Thoroughly
I UNDERSTAND THAT ANY MISREPRESENTATION MADE BY ME IN CONNECTION WITH THIS APPLICATION WILL BE JUST AND SUFFICIENT CAUSE FOR SEPARATION FROM WEST PARK HEALTHCARE CENTRE.
I AGREE THAT A MEDICAL EXAMINATION WILL BE REQUIRED AND CONDUCTED FOLLOWING RECEIPT OF A CONDITIONAL OFFER OF EMPLOYMENT.
I AGREE THAT A CRIMINAL REFERENCE CHECK SEARCH WILL BE CONDUCTED FOLLOWING A CONDITIONAL OFFER OF EMPLOYMENT. BASED ON THE RESULTS OF THE CRIMINAL RECORD CHECK, WEST PARK HEALTHCARE CENTRE WILL MAKE DECISIONS ON EXTENDING A CONFIRMED OFFER OF EMPLOYMENT.
I UNDERST AND THA T I MUST COMPLETE A TB SKIN TEST ON AN ANNUAL BASIS, OR A CHEST XRAY EVERY TWO YEARS (IF APPLICABLE ).
I AGREE THA T AFTER COMPLETING THE REQUIRED W AITING PERIOD I WILL ENROLL IN ALL COMPULSOR Y BENEFIT PROGRAMS FOR WHICH I AM ELIGIBLE.
I UNDERST AND THA T I WILL BE REQUIRED TO SER VE A PROBA TIONAR Y PERIOD. I UNDERST AND AND AGREE THA T I WILL BE REQUIRED TO A TTEND CENTRE-WIDE ORIENTA TION.
I HEREBY AUTHORIZE WEST P ARK HEAL THCARE CENTRE TO OBT AIN REFERENCES FROM ANY OR ALL OF MY PREVIOUS EMPLOYERS IN CONNECTION WITH MY APPLICA TION FOR EMPLOYMENT.
I Agree
Date: Format: M/D/YY
Signature:
References - Please use employment or educational reference contacts, preferably current or former supervisors. Please do not use Ministers of Religion or personal references.:
Resume Attachment
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