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Position: Personal Support Worker
Location: Georgetown
Job Code: 31958

To submit your application please complete the form below. Fields marked with a red asterisk * are required. When you have finished click Submit at the bottom of this form. Note: If you click on 'Back to search Results" your information will not be saved.

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Personal Information (Please enter Full Legal Name as it appears on your Birth Certificate or Passport)

How did you hear about us?

Additional Information

In the space provided below, please provide hours and days available for work?

(Upon hire, you must provide proof of your identity, Social Insurance Number, and valid work permit if applicable)

Have you ever worked for Saint Elizabeth?

Are you related to anyone who works for Saint Elizabeth?

If yes, in the space provided below please indicate your relationship, their role, date of employment and location where they are currently working.

Have you ever been convicted of an indictable offense for which a pardon has not been granted?


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Responsibilities and Duties

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Resume Attachment

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Cover Letter
You can use the text area for a cover letter and any supplementary information you would like to provide about your career goals, availability, best times to contact you, etc.

Disclaimer and Signature

I hereby certify that the information herein provided in this Employment Application is true and complete to the best of my knowledge. I understand that false statements or omissions may disqualify me from employment, or if employed, cause my dismissal without notice and/or severance. It is understood and agreed that my employment is subject to satisfactory references and criminal record checks.   Saint Elizabeth is authorized to obtain employment references and make inquiries concerning the information given herein and I agree to release any person or organization from liability for the consequences of answers to such enquiries.  I hereby release Saint Elizabeth from any liability associated with the provision of references related to my employment at Saint Elizabeth, during my employment or thereafter.

Personal information related to the recruitment and hiring process is collected under the authority outlined in the Personal Information Protection and Electronic Documents Act (PIPEDA, Canada 2004). This information will be used to determine eligibility for employment with Saint Elizabeth. The use and disclosure of personal information by Saint Elizabeth is in accordance with PIPEDA. If you have any questions about the collection, use or disclosure of personal information, please e-mail our Privacy Officer at


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