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* Have you ever been convicted of a crime for which you have not been pardoned for? Select Answer Pardoned/Clean Record I have been convicted but have not yet been pardoned

* Are you able to provide proof of immunization and vaccination? Select Answer Yes No I have medical accommodation

* Do you hold a Personal Support Worker Certificate received from an Ontario College of Applied Arts and Technology program or from an Accredited PSW Educational Program? Select Answer Yes No Currently in a PSW program

* If you do not hold a PSW certificate, have you completed one year of full-time studies in either the Registered Practical Nursing program or Registered Nursing program at an accredited college/university? Select Answer I have my PSW certificate I have completed one year of full time nursing studies I am currently in my first year of nursing I am not studying nursing

* Are you eligible to work in Canada? Select Answer Yes Not at this time Working towards

* I confirm that the information I provided including my resume and answers to listed screening questions is factual and up to date. Select Answer Yes No

* Resume / CV Upload