Apply for Service Coordiantor - Home Instead 3008

Apply for Service Coordiantor

Hello and thank you for your interest in Home Instead. Please fill out the application below and click the Submit button when finished. Fields with an asterisk (*) are required.

Please note that this is the job board for the franchise office located at 5991 Spring Garden Road, Suite 425. Each Home Instead franchise is independently owned and operated. To find a franchise near you, please visit the Careers page.

For job related questions please call the franchise office at 902-429-2298.

Summary
Title:	Service Coordiantor
ID:	1549
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* Province:
* Postal Code:
* Phone:
* Email:
Attachments
Resume:	Supported formats: Word, PDF, RTF, Text, and HTML.

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Cover Letter:	You can type in a Cover Letter or Copy/Paste from an existing document.

Additional Information

* How did you hear about Home Instead?

If applicable, please specify:

Canadian CAREGiver v4 Employment Application

BASIC INFORMATION

* Have you ever submitted an application here before?

Yes No

If yes, when?

* Are you able to perform the essential functions of the job for which you are applying with or without a reasonable accommodation?

Yes No

WORK HISTORY

MOST RECENT EMPLOYER

* Are you currently working for this employer?

Yes No

* If yes, may we contact?

Yes No

* Company Name:

* City:

* Province:

* Company Phone:

* Dates Employed - From:

* Dates Employed - To:

* Duties:

* Salary:

* Per Hour/Week/Month:

Reason for Leaving:

REFERENCES

If you are considered for a position, we may contact your references and would ask that you notify them in advance. Please do not list relatives or family/relations.

Professional References

Full Name	Phone Number	Best Time of Day to Call	Email	Relationship (No Relatives)	Number of Years Known
		AM PM
		AM PM

Personal References

Full Name	Phone Number	Best Time of Day to Call	Email	Relationship (No Relatives)	Number of Years Known
		AM PM
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APPLICANT NOTE

3328003 Nova Scotia Limited is an independently owned and operated Home Instead® franchise 5991 Spring Garden Road, Suite 425 902-429-2273.

This application will be valid for 60 days. If you need further assistance for any phase of the employment process, please notify the person who gave you this form and every reasonable effort will be made to meet your needs in a reasonable amount of time.

This application form is intended for use in evaluating your qualifications for employment with us, an independently owned and operated Home Instead franchise. This is not an employment contract. Please answer all applicable questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the application process or, if discovered after employment begins, terminating employment for cause. All qualified applicants will be considered throughout the application process without unlawful discrimination or harassment because of race, ancestry, place of origin, colour, ethnic origin, citizenship, creed, sex, sexual orientation, age, marital status, family status or disability, or any other prohibited grounds of discrimination under applicable law. Our Home Instead franchise is committing to providing accommodation in compliance with applicable human rights law. You will be given a copy of the job description for the position for which you have applied. If you require accommodation in order to perform the job duties, it is your responsibility to let us know.

CERTIFICATION

I certify that I have read and understand the applicant note above and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts in this application may result in rejection of my application or termination for cause at any time during my employment. I also understand that the use of illegal drugs is prohibited during employment.

I understand that this application is not a contract for employment.

By typing your name below you are electronically signing this document.

* Signature (type full name):
* Date:

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