Caregiver Jobs & Careers | United Respite Care

Join our care team

To apply, please complete the application below. If you have any questions, email info@unitedrespitecare.ca or call (778) 561-5882.

APPLICANT CATEGORY *
Please select the category that best describes your situation:

Graduate of an HCA Program in BC - Completed HCA program at a BC educational institution Graduate of an HCA program outside BC (or HCA equivalent) - Completed HCA program at a Canadian institution outside BC At least 10 years of experience in home support

PERSONAL INFORMATION

Legal Name

First Name

Middle Name

Last Name

Preferred Name (if different)

Phone Number

Email

Date of Birth

Gender
Male Female Other

Street Address

City

Province / State

Postal Code

Country

Mailing Address (if different):

Street Address

City

Province / State

Postal Code

Country

Name Change Documentation (if applicable)
Marriage Certificate Certificate of Name Change Not Applicable

EDUCATION AND TRAINING

For BC HCA Program Graduates

Educational Institution

Program Name

Program Completion Date

Program Duration

Required Documentation (submit one):

Important: Transcripts must show final grades for all required HCA courses. Incomplete transcripts indicating the program is still in progress are not accepted.

Certificate Official Transcript Unofficial Transcript Official letter of completion from educational institution

Documentation File Upload

If your education credential is more than 3 years old

Resume outlining recent and relevant HCA work experience attached May be required to complete HCA competency evaluation

For Canadian HCA Program Graduates (Outside BC)

Educational Institution:

Province/Territory:

Program Name:

Program Completion Date:

Required Documentation:

Certificate/Diploma/Degree Official Transcript

Documentation File Upload

BACKGROUND CHECKS AND SCREENING

Criminal Record Check

Have you completed a Criminal Record Check through the BC Criminal Records Review Program?

Yes No In Progress

Date of Criminal Record Check:

Health Screening

Have you completed tuberculosis screening as required?

Yes No

Date of TB Screening:

Health Care Provider:

Are you vaccinated for COVID-19?

EMPLOYMENT INFORMATION

Current Employment Status:

Employed as HCA Seeking HCA employment Student Other

Current/Most Recent Employer (if applicable):

Employer Name

Position Title

Employment Dates:

Type of Health Care Setting:
Public Health Authority Private Home Care Assisted Living Long-term Care Community Health Other

Note: Other Information that Agency needs to know:

DECLARATIONS AND CONSENT

Applicant Declaration

I declare that:

All information provided in this application is true, complete, and accurate.

I understand that providing false or misleading information may result in my application being declined or my employment being ended.

I will notify United Respite Care immediately of any changes to the information provided.

I understand the responsibilities and obligations of registered care aides and community health workers.

I agree to comply with United Respite Care's policies and code of conduct.

I have read and agree to the Applicant Declaration.

Consent for Information Sharing

I consent to:

United Respite Care verifying the information in this application with educational institutions, past employers, and regulatory bodies.

United Respite Care checking my registration status and qualifications.

The collection, use, and disclosure of my personal information as outlined in United Respite Care's privacy policy.

I have read and give my consent.

Professional Conduct Agreement

I agree to:

Maintain professional standards in all aspects of my work.

Report any incidents or concerns related to client safety or care quality.

Participate in continuing education and professional development as required.

Notify United Respite Care of any criminal charges or convictions.

Work within my scope of practice and competency level.

I have read and agree to the Professional Conduct Agreement.

Signature

Sign Date:

REQUIRED DOCUMENTS CHECKLIST

Please ensure all required documents are submitted with your application:

Documentation File Upload

All Applicants
Completed application form Copy of government-issued photo identification Criminal record check (BC Criminal Records Review Program) Tuberculosis screening results

Education-Specific Documents
Educational transcripts/certificates (as applicable to your category) Professional license verification (for licensed nurses) Educational credential assessment (for international applicants) Resume (if education is more than 3 years old or as required)

Name Change Documents (if applicable):
Marriage certificate Certificate of name change

Phone:

United Respite Care Inc.

Career

Join our care team

PERSONAL INFORMATION

Mailing Address (if different):

EDUCATION AND TRAINING

For BC HCA Program Graduates

Required Documentation (submit one):

Important: Transcripts must show final grades for all required HCA courses. Incomplete transcripts indicating the program is still in progress are not accepted.

Certificate Official Transcript Unofficial Transcript Official letter of completion from educational institution

Documentation File Upload

If your education credential is more than 3 years old

Resume outlining recent and relevant HCA work experience attached May be required to complete HCA competency evaluation

For Canadian HCA Program Graduates (Outside BC)

Required Documentation:

Certificate/Diploma/Degree Official Transcript

Documentation File Upload

BACKGROUND CHECKS AND SCREENING

Criminal Record Check

Have you completed a Criminal Record Check through the BC Criminal Records Review Program?

Yes No In Progress

Health Screening

Have you completed tuberculosis screening as required?

Yes No

EMPLOYMENT INFORMATION

Current Employment Status:

Employed as HCA Seeking HCA employment Student Other

Current/Most Recent Employer (if applicable):

Note: Other Information that Agency needs to know:

DECLARATIONS AND CONSENT

Applicant Declaration

Consent for Information Sharing

Professional Conduct Agreement

REQUIRED DOCUMENTS CHECKLIST

Please ensure all required documents are submitted with your application:

Documentation File Upload

All Applicants Completed application form Copy of government-issued photo identification Criminal record check (BC Criminal Records Review Program) Tuberculosis screening results

Education-Specific Documents Educational transcripts/certificates (as applicable to your category) Professional license verification (for licensed nurses) Educational credential assessment (for international applicants) Resume (if education is more than 3 years old or as required)

Name Change Documents (if applicable): Marriage certificate Certificate of name change

Home Care in Langley, Surrey & Delta

Langley

Surrey

Delta

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Contact Information

(778) 561-5882

info@unitedrespitecare.ca

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All Applicants
Completed application form Copy of government-issued photo identification Criminal record check (BC Criminal Records Review Program) Tuberculosis screening results

Education-Specific Documents
Educational transcripts/certificates (as applicable to your category) Professional license verification (for licensed nurses) Educational credential assessment (for international applicants) Resume (if education is more than 3 years old or as required)

Name Change Documents (if applicable):
Marriage certificate Certificate of name change

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