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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.

Click the Upload Resume to use your resume to pre-fill this application form.

Click the LinkedIn link to use your LinkedIn profile to pre-fill this application form.

Upload resume

Email Registration

Your email address will be used as your login name allowing you to return to our website update your profile. If you do not have an email address, you can obtain a free account at Yahoo or Hotmail. Please make sure that the syntax of your email address is in the following form: username@ispname.com

Email: *

Please create your password
Passwords must be at least six(6) characters

Password: *

Re-type new password: *

Are you currently employed at St. Joseph's Healthcare Hamilton?

Currently Employed SJHH: *

Have you ever been previously employed by St. Joseph's Healthcare Hamilton?

Previously Employed SJHH: *

Are you currently an employee of a St. Joseph's Healthcare Hamilton affiliate (ie. St. Joseph's Home Care and St. Joseph's Villa Dundas)?

SJHS Employed: *

CURRENT SJHH EMPLOYEES - Important Notice: It is essential that you identify that you are a current employee and include a current resume. If you have an existing profile, please update your information to reflect that you are a current employee and provide your Employee I.D. Number (refer to paystub). Failure to identify yourself as an internal candidate may result in not being included on internal applicant list.

Employee ID - From Pay Stub (SJHH Employees ONLY)

Employee ID From Pay Stub:

Which Union do you currently belong to?

Union Belong:

Personal Information

Legal First Name: *

Legal Last Name: *

Middle Name:

Common Name:

Primary Phone: *

Business Phone:

Current Address

Street address: *

ZIP/Postal code: *

City: *

Country:

Province: *

How did you first learn about this position?

Source: *

Referred By:

Resume Attachment

Your resume can be uploaded in any of the following formats: DOC, DOCX, RTF, PDF, TXT, HTML.

* Required InformationAdd Resume & Attachments

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.

Cover Letter:

Registrations

Please indicate registration information for Nursing and Regulated Health Professional positions, if applicable/available.

Ontario Registration:

Registration Number:

Renewal Date:
Format: DD/MM/YY

Additional Information

Are you legally eligible to work in Canada?

Work in Canada: *

Are you 18 years of age or older?

18+: *

Have you ever had an academic placement at St. Joseph's Healthcare Hamilton?

Academic St. Joseph's: *

Have you ever been convicted of a criminal offence for which a pardon has not been granted?

Criminal Offence: *

Offense Explanation:

Are you a relative of a current St. Joseph's Healthcare Hamilton or Research Institute of St. Joe's employee?

Relative: *

If "Yes", please indicate the name(s) and relationship(s) to the St. Joseph's Healthcare Hamilton or Research Institute of St. Joe's employee(s):

Relative Name:

Are you currently suspended or under investigation by your Professional Regulatory Body?

Professional Regulatory:

If you wish to be considered for other employment opportunities with SJHH please indicate the following:

Type of Work Desired:

Education

Highest Education Level: *

Education:

Education 1 Type of Education:

Education 1 Diploma/Degree Received?:

Education 1 School Name:

Education 1 Field of study:

Education 1 Years Completed:

+ Add Another Education

- Remove Previous Education

Employment History

May we ask your present employer for a reference?

Ask Employer Reference:

Employment History - Start with Current or Most Recent Employer:

Work History 1 Title:

Work History 1 Direct Supervisor:

Work History 1 Date From:

Work History 1 Reason For Leaving:

Work History 1 Date To:

Work History 1 Leaving Explanation:

Work History 1 Company Name:

Work History 1 Currently Employed Here:

Work History 1 Company Street Address:

May we ask your present employer for a reference?

Work History 1 Company City:

Work History 1 Ask For Reference:

+ Add Another Work History

- Remove Previous Work History

References:

References 1 Reference Name:

References 1 Email:

References 1 Job Title:

References 1 Phone:

References 1 Organization:

References 1 Years Known:

References 2 Reference Name:

References 2 Email:

References 2 Job Title:

References 2 Phone:

References 2 Organization:

References 2 Years Known:

References 3 Reference Name:

References 3 Email:

References 3 Job Title:

References 3 Phone:

References 3 Organization:

References 3 Years Known:

- Remove Previous References

Applicant Acknowledgement:

I hereby certify that the facts set forth in the above Employment Application are true and complete to the best of my knowledge. I understand that if employed, any falsified statements on this Application Form may disqualify me from employment and/or become just cause for my dismissal and there shall be no further legal obligation placed on St. Joseph's Healthcare Hamilton. This further authorizes St. Joseph's Healthcare Hamilton to make any inquiries normally required to determine my suitability for employment as well as any employers and/or others to release to St. Joseph's Healthcare Hamilton any information which will assist St. Joseph's Healthcare Hamilton to determine my suitability for employment.

I Agree *

Date Applied:
Format: DD/MM/YY *

Signed Name: *