Application for Employment

    Which of the following programs are you interested in working in?

    Are you legally able to work in Canada?

    Did you complete Grade 12?

    Do you have a valid BC Driver’s License?

    Do you have your own transportation?

    Do you have valid car insurance (027/007)?

    Do you have a current First Aid certificate?

    Do you have a current Food Safe certificate?

    Are you registered as a BC Care Aide and Community Health Worker?

    Our agency has programs which operate 7 days per week. We require employees to be available as needed and scheduling is done accordingly. Are you able to work as needed?


    Please provide 3 references, preferably employers, but you may use one personal reference.
    Please list employers, most recent first.

    May we contact this employer?

    May we contact this employer?

    May we contact this employer?

    Personal Reference

    Following a successful interview and prior to commencing employment, applicants must submit a Criminal Record Search, medical form, TB skin test certification, driver’s abstract, driver’s license and proof of vehicle insurance. Criminal record search is done internally.
    This application is considered a legal document and any false information will forfeit any claims to employment. By signing this form you acknowledge that Princeton & District Community Services Society has the right to check the validity of this application.