GHAC External Application Form for Casual Positions

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The GHAC External Application Form is for those applying for a casual employment opportunity(ies) with Gizhewaadiziwin Health Access Centre.
Please Note: Those who are applying for a position(s) that requires education and/or registration with a College will need to provide proof of this if attending an interview.
Also, 3 references (2 professional) will need to be supplied to the HR Manager if also attending an interview.

Name *

Mailing Address *

Telephone Number *

Alternate Phone Number

Email Address

Ethnicity

Indigenous

Metis

Non-Indigenous

Prefer to Not Disclose

Clear selection

Position(s) Applying for: *

Are you legally eligible to work in Canada? *

Yes

Are you between 18 and 65 years of age? *

Yes

Are you able and willing to provide a clean Criminal Records Check and/or Vulnerable Sectors Check? *

Yes

Are you able to provide proof of a valid driver’s licence? *

Yes

Are you able and willing to provide a clean driver’s abstract?

Yes

Clear selection

Are you able and willing to provide proof of full COVID-19 vaccination?

Yes

Clear selection

Please feel free to use the below space or provide an additional page if you answered “No” to any of the above questions and would like to provide further information for us.

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