Availability Survey: Potential National Public Health Nursing Support - Hines Health Services

Quarantine & Border Health Services

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1. Full name (Required.)

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2. What city do you currently live in? (Required.)

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3. Best Contact Information (Required.)

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4. Best Contact Number (Required.)

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5. Current Designation, as applicable (Required.)

Registered Nurse (RN)

Licensed / Registered Practical Nurse (LPN/RPN)

Nursing Student

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6. Credentials and Requirements - check all that apply (Required.)

Current applicable licensure or student eligibility status

Bilingual - English and French

Have a Certificate of Standard First Aid AND Basic Life Support (BLS) or equivalent

Hold an active Government of Canada Reliability Status clearance

Be available for short-notice deployment

Be comfortable working in airport or public health screening environments

Please indicate if you currently hold an active federal Reliability Status or other Government of Canada security clearance.

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7. City or cities you are available to support (Required.)

Montreal, QC - YUL

Toronto, ON - YYZ

Ottawa, ON - YOW

Calgary, AB - YYC

Vancouver, BC - YVR

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8. Indicate your availability between May 30 and Jun 12, 2026, possible for extension (Required.)

Available for all dates / shifts between May 30 - Jun 12, 2026

Available for majority of dates / shifts between May 30 - Jun 12, 2026

Limited availability between May 30 - Jun 12, 2026

Other (please specify dates unavailable)

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9. Earliest available start date between May 30 - Jun 12, 2026 (Required.)

Earliest Start Date

Date

Alternate Start Date

Date

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10. Preferred shifts: days, evenings, or nights. Potential shifts may include: (Required.)

8:00 a.m. to 4:00 p.m.

4:00 p.m. to 12:00 a.m.

12:00 a.m. to 8:00 a.m.

Availability Survey: Potential National Public Health Nursing Support - Hines Health Services

Quarantine & Border Health Services

Question Title

* 1. Full name (Required.)

Question Title

* 2. What city do you currently live in? (Required.)

Question Title

* 3. Best Contact Information (Required.)

Question Title

* 4. Best Contact Number (Required.)

Question Title

* 5. Current Designation, as applicable (Required.)

Question Title

* 6. Credentials and Requirements - check all that apply (Required.)

Question Title

* 7. City or cities you are available to support (Required.)

Question Title

* 8. Indicate your availability between May 30 and Jun 12, 2026, possible for extension (Required.)

Question Title

* 9. Earliest available start date between May 30 - Jun 12, 2026 (Required.)

Question Title

* 10. Preferred shifts: days, evenings, or nights. Potential shifts may include: (Required.)

Question Title

* 11. Any airport, public health, screening, occupational health, emergency, or communicable disease experience (Required.)

1. Full name (Required.)

2. What city do you currently live in? (Required.)

3. Best Contact Information (Required.)

4. Best Contact Number (Required.)

5. Current Designation, as applicable (Required.)

6. Credentials and Requirements - check all that apply (Required.)

7. City or cities you are available to support (Required.)

8. Indicate your availability between May 30 and Jun 12, 2026, possible for extension (Required.)

9. Earliest available start date between May 30 - Jun 12, 2026 (Required.)

10. Preferred shifts: days, evenings, or nights. Potential shifts may include: (Required.)

11. Any airport, public health, screening, occupational health, emergency, or communicable disease experience (Required.)