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Brokered Home Maintenance Worker Application
Your Personal Information
Your Name
First
Last
Your Email Address
Enter Email
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Address
Street Address
Address Line 2
City
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Home Phone
Cell Phone
Skills/Strenths
The following questions are geared towards learning your skills/strengths that could be used in our home maintenance program.
List relevant skills that apply to the job.
List any relevant employment and volunteer history.
Please check the areas you would be interested in working.
House cleaning
Yard work
Spring cleaning
Snow shovelling
Painting
Minor repairs
Window washing
Other
If other, please list:
What type of jobs are you unable to do?
The people we serve in our Outreach Program often have health concerns that impact their ability to live independently. Health concerns can vary from physical health concerns, mental health concerns, cognition concerns, etc. Are you comfortable providing service to people who have barriers to living independently?
You are booked to work for a client tomorrow morning at 8:30am and you are feeling ill. What would you do?
The rate for service, set by the Golden Circle as $20.00 per hour. There might be a time where the rate would be increased by Golden Circle for jobs completed outside the scope of “regular duties” as defined by the Golden Circle. In this instance, you will work with the Outreach Team to set that rate with the client.
Availability and References
Are you willing to submit a criminal background check?
Yes
No
What days and times during the week would you be available to work?
Please provide available hours under the appropriate day(s).
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays
References
Please list 3 current references including a previous employer (supervisor) with their phone numbers. Click + to add additional entries.
Name
Position/Company
Phone Number
City
Add
Remove
Please provide any additional information you feel may be relevant to this position as a Brokered Home Maintenance Worker.
Terms and Conditions
(Required)
I hereby acknowledge that the above information is accurate and true and that if any information has been falsely disclosed, it is cause for termination as a Golden Circle Brokered Worker.
I agree to the terms and conditions.
Personal information provided here will not be used for purposes other than those related to the Golden Circle Senior Resource Centre. Your information will be handled with respect, and will not be sold, given away, or provided to parties outside of the Golden Circle Senior Resource Centre without your consent, unless law required that it be shared.
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