Employment Application

All personal information submitted through our website remains confidential and will not be used for purposes other than employment. Upon the completion of this application your information will be submitted to Human Resources and your submission acts as consent for First Health Care to begin the employment prescreening process. First Health Care adheres to all Human Right Codes, Privacy Requirements and recognizes standards under the Accessibility for Ontarians with Disability Act 2005.

Full Legal Name

Email Address

Phone Number

Address

I am legally entitled to work in Canada.
I am 18 years of age or older.
I have not been convicted of a criminal offence for which a pardon has not been granted.

How were you referred to First Health Care?

What position are you applying for?

Current certifications (check all that apply)

CPR/BCLS
ACLS
AED
Mask Fit

Number of years of recent and related experience

Areas of Nursing Expertise (check all that apply)

Medical
Surgical
Rehab
Oncology
Palliative
Telemetry
Critical Care
Emergency

Resume

I am providing First Health Care with my consent to contact the following work related references.

Reference 1

Name

Title

Employer

Work Phone

Home Phone

Mobile Phone

Reference 2

Name

Title

Employer

Work Phone

Home Phone

Mobile Phone

Reference 3

Name

Title

Employer

Work Phone

Home Phone

Mobile Phone

Message

I acknowledge that should I become an employee of First Health Care I understand and adhere to all confidentiality requirements as set out under the Personal Health Information Privacy Act and treat all information provided to me as confidential.
As a registered member of the College of Nurse of Ontario, I recognize and will adhere to all practice standards and remain in good standing with the College of Nurses of Ontario with no restrictions. I acknowledge CNO's self reporting requirement.
I declare that I am free and clear of any convictions or criminal offence for which a pardon has not been granted.
I grant First Health Care the permission to process my application for employment and declare that all information provided by me is true and I understand that any false statement made by me may disqualify me from employment or cause my dismissal.
I confirm that the information provided above is correct and wish to submit my application for employment.