Please complete all required fields and attach your résumé before submitting this application.

By clicking 'submit' you are giving KACL your consent to collect and use your personal information to assess and consider your application for employment.

KACL is committed to protecting the confidentiality of the information we hold.

All personal information KACL collects and uses is managed on a daily basis in such a way that it is kept secure against loss, theft, defacement, tampering and copying or use by unauthorized persons.

Legal Name Legal Name * First Last
Position Applied for (e.g. Regular Part-Time Community Support Worker)
Position Number (e.g. 2017-05)
Phone Phone * - ### - ### ####
Email *
Highest COMPLETED level of Education *

Highest COMPLETED level of Education Secondary School Diploma or Equivalent Apprenticeship or Trades Certificate or Diploma 1-2 year College / CEGEP Certificate or Diploma 2 or more year College / CEGEP Certificate or Diploma 3 year Bachelor Degree 4 year Bachelor Degree First Professional University Degree Graduate Degree
How did you learn about this Position? *

How did you learn about this Position? KACL website Social Media KACL Staff Member Friend / Relative Anokiiwin Job Connect (Shooniyaa Wa-Bitong) L.E.A.P Newspaper Job Bank Other Other
Have you worked or volunteered for KACL in the past? *

Have you worked or volunteered for KACL in the past? No Yes, Worked Yes, Volunteered Other Other
I have a valid, Ontario Class G Driver's Licence (or equivalent) and daily access to a vehicle *

I have a valid, Ontario Class G Driver's Licence (or equivalent) and daily access to a vehicle Yes No
If requested during consideration, I am prepared to obtain and submit a driver's record at my own expense. *

If requested during consideration, I am prepared to obtain and submit a driver's record at my own expense. Yes No
I am legally eligible to work in Canada. *

I am legally eligible to work in Canada. Yes No
Have you ever been convicted of a criminal offense for which you have not received a record suspension? *

Have you ever been convicted of a criminal offense for which you have not received a record suspension? Yes No
I am prepared and consent to undergo a criminal reference check, at my own expense. *

I am prepared and consent to undergo a criminal reference check, at my own expense. Yes No
When are you available to work (please indicate days of the week as well time of day that you CAN WORK)?
Have you ever worked with Vulnerable Persons?

If so, please provide a brief description of the work, including your title, employer/volunteer, duties, and dates (beginning/end) worked. *
Please describe your experience and your comfort level with Microsoft products (e.g. Office Suite, Outlook, Sharepoint, etc.) *
Please provide contact information (name, phone number, email address, company/agency) of an employment reference who directly supervised you (1/3). *
Please provide contact information (name, phone number, email address, company/agency) of an employment reference who directly supervised you (2/3). *
Please provide contact information (name, phone number, email address, company/agency) of an employment reference who directly supervised you (3/3). *
KACL welcomes and encourages applications from people with disabilities. Accommodations are available upon request for candidates taking part in all aspects of the selection process.

Interviews include a verbal question-answer component as well as a written component. A typical interview takes place in a one hour period.

Please use the space below to request a modification or any adjustment or plan KACL may make to help ensure that our assessment is fair.
I hereby declare that the foregoing information is true and complete to my knowledge.

I understand that a false statement may disqualify me from employment or cause my dismissal.

I understand that reference checks and discreet inquiries, in verbal and/or written form, will be made and I agree to these, provided the information is kept in confidence.

I understand that it is a requirement of the job to meet certain physical demands, such as assisting assigned persons with lifts and transfers.

I understand that I may be required to enrol for certain benefits as a condition of employment and I may be required to pay all or part of the cost of premiums. *

I hereby declare that the foregoing information is true and complete to my knowledge.

I understand that a false statement may disqualify me from employment or cause my dismissal.

I understand that reference checks and discreet inquiries, in verbal and/or written form, will be made and I agree to these, provided the information is kept in confidence.

I understand that it is a requirement of the job to meet certain physical demands, such as assisting assigned persons with lifts and transfers.

I understand that I may be required to enrol for certain benefits as a condition of employment and I may be required to pay all or part of the cost of premiums. I agree I do not agree
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