Careers Application Form

Careers Application Form

To Applicant: We appreciate your interest in Salem Home Inc. A clear understanding of your background and work history will aid us in processing your application.

Personal Information

Name
Name
First
Last
Address
Address
City
State/Province
Zip/Postal
Country
What department(s)/position(s) are you interested in? Please check those applicable:
Would you work:
Were you previously employed by us?
Are you legally entitled to work in Canada?
Indicate if English is your first language

Maximum file size: 5MB

Education

Did you graduate?

List all other relevant training leading to a Certificate, Diploma or Degree

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Note:

  1. Health Care Attendant Certificate or Resident Care Attendant Certificate is required to work as a Resident Care Attendant.
  2. Food-Safe Handling Certificate is required to work in Nutrition Services or Therapeutic Recreation.

Employment History

List all present and past employment, beginning with your most recent employer
May we contact for reference
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Applicant's Certification and Agreement

I declare the foregoing information to be true and complete to the best of my knowledge and understand that any misrepresentation or material omission is grounds for refusal to employ me, or, if I am employed, for dismissal with cause.

I understand that an offer of employment may be conditional upon a medical certificate confirming my physical and mental fitness for the job. Should this examination reveal a condition which would prevent the satisfactory performance of the job duties, the offer may be withdrawn.

I hereby authorize Salem Home Inc. to conduct a personal investigation in connection with my application for employment. As a part of that investigation, I authorize my current or former employers to release information regarding my record of employment, performance on the job, reason for leaving (if applicable) and other pertinent information.

Note: All applications for employment will be kept on file for a six-month time period. We thank you for your application. Only those individuals selected for an interview will be contacted.

IMPORTANT NOTICE: Legislation prohibits discrimination in employment practices because of age, ancestry, colour or ethnic background, creed, marital or civil status, family status, nationality, citizenship, national or social origin/condition, physical or mental disability/handicap, place of origin, record of offences, political opinion, race, religion, sex or sexual orientation, and any inquiries, verbal or written, which would require an applicant to disclose information about these areas, are strictly prohibited.