Employment Application - Options for Sexual Health

Personal Data
Name*
First Last
Initial
Home Address*
Street Address Address Line 2 City Province / State Postal Code / ZIP Country
Telephone (work)
Telephone (cell)*
Email*

Education
Last year attended*
Level completed*
Certificates, diplomas, degrees obtained
Course of study
List any specialized training, skills, awards, professional designations, and other education
For Registered Nurses, please include when you obtained Contraceptive Management Certification and STI Management Certification.

Employment History
Most Recent Employment
Employer
Address
Street Address Address Line 2 City Province / State Province / ZIP Code Country
Type of Business
Employment period
Approximate start date
MM slash DD slash YYYY
Approximate end date
MM slash DD slash YYYY
Final salary
Name and title of immediate supervisor
Reason for leaving
Job duties and responsibilities

Other
Is there anything else you would like us to know?
Cover Letter*
Please attach a cover letter to provide additional information relevant to your application.

WARNING: If you attach a file and then click "Apply" before you have filled in all of the required fields, you will see an error saying you must fill in the fields you missed. You will need to attach your file again at that point.
Accepted file types: doc, pdf, docx, Max. file size: 4 GB.
Resume*
Please attach a resume to provide additional information relevant to your application.

WARNING: If you attach a file and then click "Apply" before you have filled in all of the required fields, you will see an error saying you must fill in the fields you missed. You will need to attach your file again at that point.
Accepted file types: doc, pdf, docx, Max. file size: 4 GB.

THE FOREGOING STATEMENTS AS WELL AS ANY STATEMENTS MADE ON DOCUMENTS ATTACHED TO THIS FORM ARE CORRECT TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT ANY MISREPRESENTATION MAY DISQUALIFY ME FROM EMPLOYMENT OR BE CAUSE FOR MY DISMISSAL WITHOUT NOTICE. IF HIRED, I AGREE TO ABIDE BY ALL RULES AND REGULATIONS OF OPTIONS FOR SEXUAL HEALTH BC, INCLUDING SERVING AN INITIAL PROBATIONARY PERIOD.*
I agree to the previous statement

Application for Employment