General Application - Brightshores Health System

Which department are you applying to:

Type of Employment wanted:

Full TimePart TimeCasual

Location of Employment Desired:

Available for shift work if Required:

YesNo

Date Available*

Your Name - First & Last*

Telephone*

Address*

Your Email*

Are you eligible to work in Canada?*

YesNo

Were you previously employed by us?*

YesNo

Is there anything that would prevent you from performing the essential duties of the job(s) for which you have applied? *

YesNo

Have you ever been convicted of a criminal offense for which you have not received a pardon? *

YesNo

How did you hear about Bright Shores?*

Brightshores WebsiteOther WebsiteNewspaperMagazineJob FairAnother Employee (Referral)Word of MouthFacebookTwitterPoster/BulletinOther

Please attach your resume in a word(.docx) or PDF(.pdf) format:

The following questions are for Nursing Applicants only:

Nursing Applicants - Clinical Areas Preferred

Ontario Certificate of Competence Number

Date of Last Renewal

Has your license ever been revoked/reduced/restricted or suspended?*

YesNo

Level of C.P.R. Certification

Heart SaverB.C.L.S.A.C.L.S.P.A.L.S.

Date of Expiry of C.P.R. Certification

Professional Associations - Include Name of Association, Current and Pending Registration, and Registration Number

Other Work Related Skills - Describe any skills, training or experience (including volunteer work) that may relate to the position applied for:

By submitting this information, I hereby certify that all the statements made by me on this application form and/or resumé are true and complete and I understand that a misrepresentation or omission of the facts will constitute full and sufficient grounds for rejection of this application or for dismissal of employment. I understand it is the policy of Brightshores to conduct a Criminal Background Check which may preclude me from obtaining employment. In the event that Brightshores further pursues my candidacy, I understand that Brightshores will notify me of its intent to investigate my previous employment, educational data, references and background checks and permission is hereby given. I also understand that if employment is offered pending satisfactory completion of the background check or reference checks and if either is not satisfactory to Brightshores, the employment offer will be rescinded. I understand that should I be successful in obtaining employment with Brightshores, the cost of the criminal background check will be deducted from my pay, and I hereby grant permission to do so. I also understand that employment is subject to the completion of a health review.

Acknowledgment of statement above:

I Agree

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