Caregiver Application
First Name
*
Last Name
*
Phone number
*
✓ Valid
Email Address
*
Community you live in
*
Vancouver
North Vancouver
West Vancouver
Burnaby
New Westminster
Richmond
North Delta
South Delta
Surrey
Coquitlam
Port Moody
Langley
White Rock
Other
Type of work you want
*
Live-in caregiver
Live-out caregiver
Night attendant
Health Care Assistant
Companion
Homemaker
Certifications you hold
Health Care Assistant (HCA) certificate
Registered with the BC Care Aide Registry
First Aid and CPR
Dementia care training
Palliative care training
Years of caregiving experience
*
Less than 1 year
1 to 3 years
3 to 5 years
5 to 10 years
More than 10 years
Availability
*
Weekdays
Evenings
Overnight
Weekends
Live-in
Do you have a current vulnerable sector check?
*
Yes
No
In progress
Languages you speak
Resume
Max number of files : 1
Max File Upload size of each file : 5 MB
Allowed file types : pdf,doc,docx
Tell us about yourself