White Rock Employment Application

Thank you for your interest in joining the Harmony Health Care – White Rock team. Please fill out the application form below:

* indicates required field

Full Name*

Home Phone

Cell Phone

Email Address*

Address*

City*

Province*

Postal Code*

When are you available to start?*

Are you applying for full-time or part-time?*

Education

Please list details of your education, with most recent experience first. Include any relevant certificates, Diplomas, Post Secondary, and High School experience

Name of School or University*

Address*

Program Name

Diploma

From*

To*

Did you graduate?*

Work History

Please provide details of your employment history, with the most recent first.

Company Name*

Address*

Company Phone*

Supervisor Name*

Job Title*

Responsibilities*

From*

To*

Reason for leaving*

May we contact your previous supervisor for a reference?*

Additional References

Full Name

Email

Phone

Position

Company Name

Why Harmony is the preferred choice for in-home care

30 years of safe, dependable care delivery
Services available 24 hours daily
Free assessment & funding investigations
Individualized care planning
Nurse case management & supervision

Liaison with doctors & community resources
Fully bonded & insured
Trained, caring personnel
Staff thoroughly screened
Continuity of caregivers

Flexible scheduling to suit you
No charge for cancellations
Affordable competitive rates
Excellent complement to government services

Service Areas on Vancouver Island

Duncan
Cowichan
Chemainus
Ladysmith

Victoria
Parksville & Qualicum
Comox & Courtenay
Nanaimo

Service Areas in the Lower Mainland

White Rock
Delta
Surrey & South Surrey
Langley