Overnight Respite Worker Application

Overnight Shifts starting at 9pm or 9:30pm (10-14 hours long)

Please read the requirements carefully.

I am an active 27 year old female who lives in the UBC area. Despite having a motor neuron disease called Spinal Muscular Atrophy, and am physically dependent on someone else for all aspects of personal care, I am a recent UBC graduate with a Bachelor of Social Work. I love to read/study (yes, I’m a bit of a nerd!), go for good food (I love ice cream and let's be real, any type of dessert!), go for walks along the seawall, and watch movies.

I am looking for someone to assist me with personal care which consists of getting me ready for bed, administering medication, getting me up in the morning (and occasionally helping with a shower), and turning me 2-3 times/night. I use a Bipap machine at night to help me breathe. You will be able to sleep on a pull-out futon in my room, but must promptly wake up when I call for help. Therefore, if you snore or are a deep sleeper, this position may not be a good fit. I am looking for someone who is responsible, organized, careful, self-directed, and is able to respect my home and privacy. The successful applicant will be starting with one night per week, and is willing to pick up on-call shifts when my other staff are unable to work their scheduled shift.

I am a responsible employer with a decade of experience hiring, training, and working with my assistants. My home is close to the UBC Vancouver campus and is near the 25, 33, 41, 43, 49, 480 and 99 Bus lines.

Requirements:
Female
Comfortable with Personal Care
Light Sleeper and Does Not Snore
Able to Readily Lift 70 lbs. either with a Mechanical Lift or a Two Person Lift
Prompt and Reliable (sick days must be very rare)
Detail-Oriented, Quick Learner
Willing to Take Direction and Work Independently
Strong Communication Skills
Fluent in English
Computer and Smart Phone Savvy
Has a Social Insurance Number
Good References
Must Complete a Criminal Record Check
Experience in the Health Care Field is an Asset, but not a Requirement (I am willing to train)

Thank you, I look forward to hearing from you! =)

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* 1. Please fill in the following (all fields required):

Full name:

Date of Birth (optional):

Address:

Email address:

Phone number:

I identify my gender as:

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* 2. Please tell me about your experience with personal care and/or any other relevant experience.

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* 3. Please tell me about any Post-Secondary education you have completed (eg. BSc in Psychology from UBC - graduated in 2016) and your 3 most recent jobs - Include your Job Title, Employer, Dates of Employment, List of Duties, and Reason for Leaving.

Post-Secondary Education:

Job 1:

Job 2:

Job 3:

Other relevant experience:

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* 4. Please answer the following:

	Yes	Sometimes/Maybe	No	Unsure	Prefer not to answer
I am reliable and punctual.	I am reliable and punctual. Yes	I am reliable and punctual. Sometimes/Maybe	I am reliable and punctual. No	I am reliable and punctual. Unsure	I am reliable and punctual. Prefer not to answer
I have good time management skills.	I have good time management skills. Yes	I have good time management skills. Sometimes/Maybe	I have good time management skills. No	I have good time management skills. Unsure	I have good time management skills. Prefer not to answer
I am able to multi-task.	I am able to multi-task. Yes	I am able to multi-task. Sometimes/Maybe	I am able to multi-task. No	I am able to multi-task. Unsure	I am able to multi-task. Prefer not to answer
I can take initiative and complete tasks that I see need to be done without being prompted.	I can take initiative and complete tasks that I see need to be done without being prompted. Yes	I can take initiative and complete tasks that I see need to be done without being prompted. Sometimes/Maybe	I can take initiative and complete tasks that I see need to be done without being prompted. No	I can take initiative and complete tasks that I see need to be done without being prompted. Unsure	I can take initiative and complete tasks that I see need to be done without being prompted. Prefer not to answer
I am a quiet sleeper.	I am a quiet sleeper. Yes	I am a quiet sleeper. Sometimes/Maybe	I am a quiet sleeper. No	I am a quiet sleeper. Unsure	I am a quiet sleeper. Prefer not to answer
I get sick easily.	I get sick easily. Yes	I get sick easily. Sometimes/Maybe	I get sick easily. No	I get sick easily. Unsure	I get sick easily. Prefer not to answer
I smoke cigarettes.	I smoke cigarettes. Yes	I smoke cigarettes. Sometimes/Maybe	I smoke cigarettes. No	I smoke cigarettes. Unsure	I smoke cigarettes. Prefer not to answer
I am willing to do laundry, cleaning and other household tasks.	I am willing to do laundry, cleaning and other household tasks. Yes	I am willing to do laundry, cleaning and other household tasks. Sometimes/Maybe	I am willing to do laundry, cleaning and other household tasks. No	I am willing to do laundry, cleaning and other household tasks. Unsure	I am willing to do laundry, cleaning and other household tasks. Prefer not to answer
I can maintain another person's home organization system.	I can maintain another person's home organization system. Yes	I can maintain another person's home organization system. Sometimes/Maybe	I can maintain another person's home organization system. No	I can maintain another person's home organization system. Unsure	I can maintain another person's home organization system. Prefer not to answer
I am able to bend, lean, pull, kneel, and lift 70 lbs.	I am able to bend, lean, pull, kneel, and lift 70 lbs. Yes	I am able to bend, lean, pull, kneel, and lift 70 lbs. Sometimes/Maybe	I am able to bend, lean, pull, kneel, and lift 70 lbs. No	I am able to bend, lean, pull, kneel, and lift 70 lbs. Unsure	I am able to bend, lean, pull, kneel, and lift 70 lbs. Prefer not to answer
I can follow verbal & written instructions in English.	I can follow verbal & written instructions in English. Yes	I can follow verbal & written instructions in English. Sometimes/Maybe	I can follow verbal & written instructions in English. No	I can follow verbal & written instructions in English. Unsure	I can follow verbal & written instructions in English. Prefer not to answer
I have regular access to e-mail.	I have regular access to e-mail. Yes	I have regular access to e-mail. Sometimes/Maybe	I have regular access to e-mail. No	I have regular access to e-mail. Unsure	I have regular access to e-mail. Prefer not to answer
I have daily access to a working cellular phone.	I have daily access to a working cellular phone. Yes	I have daily access to a working cellular phone. Sometimes/Maybe	I have daily access to a working cellular phone. No	I have daily access to a working cellular phone. Unsure	I have daily access to a working cellular phone. Prefer not to answer
I am willing to occasionally fill in if another staff cannot work their shift.	I am willing to occasionally fill in if another staff cannot work their shift. Yes	I am willing to occasionally fill in if another staff cannot work their shift. Sometimes/Maybe	I am willing to occasionally fill in if another staff cannot work their shift. No	I am willing to occasionally fill in if another staff cannot work their shift. Unsure	I am willing to occasionally fill in if another staff cannot work their shift. Prefer not to answer

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* 5. What type of transportation will you be using to get to/from work?

Access to vehicle

Public transportation

Walking

Biking

Other (please specify)

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* 6. Your Availability

	Sunday	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
Which evenings/nights would you be available to work (overnight shifts are typically from 9/9:30pm-9/9:30am)?	Which evenings/nights would you be available to work (overnight shifts are typically from 9/9:30pm-9/9:30am)? Sunday	Which evenings/nights would you be available to work (overnight shifts are typically from 9/9:30pm-9/9:30am)? Monday	Which evenings/nights would you be available to work (overnight shifts are typically from 9/9:30pm-9/9:30am)? Tuesday	Which evenings/nights would you be available to work (overnight shifts are typically from 9/9:30pm-9/9:30am)? Wednesday	Which evenings/nights would you be available to work (overnight shifts are typically from 9/9:30pm-9/9:30am)? Thursday	Which evenings/nights would you be available to work (overnight shifts are typically from 9/9:30pm-9/9:30am)? Friday	Which evenings/nights would you be available to work (overnight shifts are typically from 9/9:30pm-9/9:30am)? Saturday

Please indicate any scheduling conflicts, if any (i.e. if you have a regular commitment at 9am, but would be willing to work beforehand as long as you could leave earlier).

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* 7. Please indicate any health concerns I should be aware of (eg. previous back injuries, severe allergies, asthma).

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* 8. Please indicate your current responsibilities/involvements.

Employed full-time

Employed part-time

Student

Other (please explain):

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* 9. How long would you be willing to commit for?

1-3 months

4-6 months

7-12 months

More than 12 months

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* 10. Please tell me about yourself. =) I would especially like to know why you are interested in this job, and how it might fit in with your existing/future career.

Thank you for applying! If I'm interested in arranging an interview, I'll be in touch with you soon.

Question Title

* 1. Please fill in the following (all fields required):

Question Title

* 2. Please tell me about your experience with personal care and/or any other relevant experience.

Question Title

* 3. Please tell me about any Post-Secondary education you have completed (eg. BSc in Psychology from UBC - graduated in 2016) and your 3 most recent jobs - Include your Job Title, Employer, Dates of Employment, List of Duties, and Reason for Leaving.

Question Title

* 4. Please answer the following:

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* 5. What type of transportation will you be using to get to/from work?

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* 6. Your Availability

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* 7. Please indicate any health concerns I should be aware of (eg. previous back injuries, severe allergies, asthma).

Question Title

* 8. Please indicate your current responsibilities/involvements.

Question Title

* 9. How long would you be willing to commit for?

Question Title

* 10. Please tell me about yourself. =) I would especially like to know why you are interested in this job, and how it might fit in with your existing/future career. Thank you for applying! If I'm interested in arranging an interview, I'll be in touch with you soon.

* 10. Please tell me about yourself. =) I would especially like to know why you are interested in this job, and how it might fit in with your existing/future career.

Thank you for applying! If I'm interested in arranging an interview, I'll be in touch with you soon.