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western families
To be further considered for employment, please complete the following Pre-Screen Questionnaire and email back to hr@clmiss.ca Applicant's Name: 1. Are you legally eligible to work for any employer in Canada? YES 2. Have you ever been convicted of a criminal offence for which you have not received a pardon? NO 3. Have you ever worked, volunteered or did a student placement with us before? N O 4. How did you hear about Community Living Mississauga? WEBSITE 5. Can you tell us what you know about Community Living Mississauga?
A non- profit organization which support individuals who have mental disability. The goal is to get these individual perform at their best/optimum level based on person goals. Individuals participate in meaningful activities in the community. 6. Do you know any employees of Community Living Mississauga (current or former) ? NO 7. What do you feel in the most important aspect to supporting individuals who have an intellectual disability?
• CARE, PROTECTION, STIMULATION, RECREATION, INTELLECTUAL AND SKILL DEVELOPMENT AT MENTAL AGE 8. Are you looking for part-time, full-time, contract, permanent or casual/respite?
FULL-TIME – PART-TIME CASUAL RESPITE 9. What hours are you available to work? Please check all that apply.
AVAILABILITY
Since we are open 24/7 and we want to maintain consistency in our support, please place an X in the boxes that you are consistently available to work Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Morning X X X X
Evening X X X X X X
Overnight X X X X X X

10. This position may require you to assist with personal care, and medication administration-are you comfortable with that? Please indicate whether you have the following:
Class G or G2 Driver's License - G
Access to a vehicle – YES
Car Insurance and Clean Driver's Abstract – YES
Standard First Aid/CPR (or willingness to obtain) – YES

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