Join Our Team — Happy Nursing Service

Full Name

Date of Birth

Phone Number

Email Address

Social Insurance Number (SIN)

Current Address

City

Province

Postal Code

Position / Designation

Available Start Date

Licensing/Registration Number

Province of Registration

Expiry Date

Preferred Employment Type

Full-Time Part-Time Casual

Preferred Shift(s)

Days Evenings Nights

Are you legally eligible to work in Canada?

Yes No

Years of Healthcare Experience

Areas of Experience

LTC/PCH ER Med/Surg OBS Dialysis ICU

CPR/BLS ACLS TNCC Vulnerable Sector Check Driver's License Others

Please list your general availability (days/times)

Reference 1

Reference 2

Please share why you are interested in working with Prime Holistic Care Corp.

Resume / CV

Hiring Application Form