Enter your name here

Please indicate the geographic area in which you live, or area(s) in which you would be willing to re-locate in order to provide care in your home.

Would you prefer to support a male, a female, or do you not have a preference?

Do you have a personal relationship with anyone affiliated with Spectrum Society (eg. an employee, volunteer or sub-contractor)? A personal relationship is defined as: a) a family relationship b) business / financial / commercial relationship c) sexual / romantic relationship NOTE: Answering yes to this question will not disqualify your application.

Any other comments? Thank you for your application. We will keep it on file for 6 months. If we determine that your profile may be a match for an individual requiring service, we will ask you to complete a detailed application and to come in for an interview. The screening process for caregivers is extensive. Please be aware that, if successful, you will be required to complete: 1. The detailed application form 2. A criminal records search 3. Basic first aid and CPR certification 4. Physician's clearance 5. Minimum of two background references 6. A detailed home study We also require verification of driver's licensing (if driving is a requirement), along with a copy of your insurance (including $3 million in third party liability coverage) and copy of your driver's abstract, which is available from ICBC. All caregivers are expected to sign a Code of Conduct and to read and abide by the conditions set forth in the Society's policies and procedures, which are available on our website. Thank you for your interest in Spectrum's Shared Living program.

OFFICE USE ONLY

OFFICE USE ONLY

Office Use Only