Nurse Next Door Home Healthcare Job Application
 
Complete all fields to be considered as a candidate. We are looking for candidates who respect others; are able to WOW customers; always seek a better way; and are sincerely passionate about making a difference in people's lives. This application is for BRITISH COLUMBIA residents only.
 
First Name*
Last Name*
Email Address*
Phone Number*
Mobile
Address*
City*
Province*
Zip Code*
Employment Type* Registered Nurse (in BC)
Licensed Practical Nurse (in BC)
Certified Care Aide (in Canada)
non-certified Companion or Support Worker
MONDAY Open Availability Mornings [0700-1200]
Afternoons [1200-1800]
Evenings [1800-2200]
OverNights [2200-0700]
TUESDAY Open Availability Mornings [0700-1200]
Afternoons [1200-1800]
Evenings [1800-2200]
OverNights [2200-0700]
WEDNESDAY Open Availability Mornings [0700-1200]
Afternoons [1200-1800]
Evenings [1800-2200]
OverNights [2200-0700]
THURSDAY Open Availability Mornings [0700-1200]
Afternoons [1200-1800]
Evenings [1800-2200]
OverNights [2200-0700]
FRIDAY Open Availability Mornings [0700-1200]
Afternoons [1200-1800]
Evenings [1800-2200]
OverNights [2200-0700]
SATURDAY Open Availability Mornings [0700-1200]
Afternoons [1200-1800]
Evenings [1800-2200]
OverNights [2200-0700]
SUNDAY Open Availability Mornings [0700-1200]
Afternoons [1200-1800]
Evenings [1800-2200]
OverNights [2200-0700]
Languages spoken English
French
Spanish
Tagalog
East Indian Languages
Korean
Mandarin
Cantonese
Other European
Other Asian
Valid BC Driver's License* Yes No Learner or Novice
Vehicle available to use* Yes No
TB test document, done within past 2 years*
Yes No
Criminal Record check document, done within past 1 year*
Yes No
Training and Skills
Highest Level of Education completed*
Current CPR/First Aid certificate?* Yes No
Personal Character
Describe briefly what makes YOU special or unique talent YOU bring to healthcare*
What do you believe are the top 2 characteristics of the very best caregivers in the world (choose only 2 words!)*
Describe why YOU are the very best applicant for Nurse Next Door, based on what you know of the company*
How did you hear about Nurse Next Door (choose one)*
web search
newspaper
saw the pink cars
friend
event
craigslist website
employment agency
school
received something in the mail
other
Date of application (today)*
Please review your answers carefully as this form goes directly to the Human Resources director for review. Successful applicants will be contacted using the information you've provided above. Ensure accuracy! Thank you for sharing your time with us at Nurse Next Door!
 
* Indicates field is required.