Disclaimer: Fields marked with an * are required. When finished, please click on the reCAPTCHA certification below before clicking submit.

Step One: Personal Information

*
*
*

1) What is your designation?

*

2) I am applying for a position within:

*

3) Where did you complete your education?

*
*

4) How much paid work experience do you have in your designation?

*

5) Do you have experience working in long term care within Canada (clinical placements or paid employment)? If Yes, please enter the name of the facilities you have worked at. If you dont have experience, please leave this section blank.

6) Have you worked with PointOfCare (POC) or PointClickCare (PCC)? It is the electronic charting used within our long term care facilities.

*

* Required

Step Two: References

Disclaimer: All references must be supervisory, healthcare references. Personal references are not accepted.* It is preferred that email addresses are entered for all references. Not entering email addresses for references may significantly slow down your application process as email have proven to be a faster method of correspondence. Please incorporate email addresses with reference information if possible.

By completing this section, I give permission to Plan A Long Term Care Staffing & Recruitment to contact the persons listed above for the purpose of obtaining reference information. These persons are aware that Plan A Long Term Care Staffing & Recruitment will contact them and they have my permission to discuss information regarding my current and/or previous employment.

Reference One

*

Professional Relationship

*

Contact Information

*

By completing this section, I give permission to Plan A Long Term Care Staffing & Recruitment to contact the persons listed above for the purpose of obtaining reference information. These persons are aware that Plan A Long Term Care Staffing & Recruitment will contact them and they have my permission to discuss information regarding my current and/or previous employment.

Reference Two

*

Professional Relationship

*

Contact Information

*

Reference Three

*

Professional Relationship

*

Contact Information

*

* Required

Step Three: Documentation

Resume/CV: Please provide a copy of your resume. (.JPG, .PDF and Microsoft Word Documents accepted)

* Required

Get a head start on supporting documentation: As we review your application and resume, you may be asked to provide the supporting documentation listed below. We will require these items later to complete the application process. We also recommend that you wait until you receive your offer of employment before obtaining any documentation that requires any out-of-pocket expense. Please submit .JPG, .PDF and Microsoft Word Documents only. Also, please include your full name and the document title in the file name (ex. "firstname-lastname-WHIMS.jpg")

Proof of Education (registration, diploma, certificate)

3-5 Health Care Professional Supervisory References (name, email address, phone #)

CPR (current, not expired)

CPIC/Vulnerable Sector Check (6 months new)

Flu Shot (most recent season)

TB Test 1 (required every 2 years)

TB Test 2 (does not expire)

N95 Respiratory Mask Fit (within 2 years of the certification date)

4 Step Health & Safety Awareness Certificate (Ontario only, all staff, does not expire)

5 Step Health & Safety Awareness Certificate (Ontario only, registered staff only, does not expire)

WHMIS (requires renewal every 2 years)

Please make sure all fields are inputted. Your application will be considered incomplete if you do not submit all three (3) references and your Resume/CV.

A proud and
supporting member.