×
Text Here
×
×
Test Title
×
Test Title
Spectrum V35 Quality Services
Spectrum V35 Quality Services
Save
Cancel
SharedLivingApplication - New Item
Applicant's Name
Enter your name here
Phone Number
Alternate Phone Number
Email Address
Home Address
Why do you want to be a Shared Living Provider?
Geographic Area
Vancouver
Burnaby / New Westminster
Tri-cities (Coquitlam, Port Coquitlam, Port Moody)
Richmond
Surrey / White Rock / Delta
Langley / Aldergrove / Abbotsford
Ladner / Tsawwassen
North Vancouver / West Vancouver
Sunshine Coast
Specify your own value:
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.
Preferred Gender
None
Female
Male
No Preference
Would you prefer to support a male, a female, or do you not have a preference?
Please describe your home and the space you have available
Summarize your experience supporting people with special needs
Personal Relationship with Anyone at Spectrum?
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.
Comments
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.
Reviewed
OFFICE USE ONLY
Follow-up
OFFICE USE ONLY
Title
*
ApplicationDate
Office Use Only
Content Type
Attachments:
Add Attachment
Add Attachment
Save
Cancel
×
Modal Header