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LWDH values the importance of creating a workplace that reflects the population it serves, and promotes the representation of the Employment Equity groups as outlined by the Employment Equity Act (1993). Applicants are encouraged to self-declare at the time of application. Declaration is voluntary. Please specify one or more of the groups below.
Are you a current employee of Lake of the Woods District Hospital?*
Are you legally entitled to work in Canada?*
Have you ever been convicted of a criminal offence for which a pardon has not been granted?*
Please select the languages you speak and/or write*
Please select your highest level of education*
AUTHORIZATION AND RELEASE: I authorize the Lake of the Woods District Hospital to verify my qualifications for employment, including the confirmation of my past employment, educational credentials and other employment related activities. I realize that the verification may include contacting my prior employers and references unless I have indicated otherwise on this form. I release any and all persons and parties connected with the investigation from any and all claims or damage arising from the collection, use or disclosure of my personal information as part of that verification process.*
PERSONAL INFORMATION: I understand that my personal information contained on this form will be used for the purpose of evaluating my candidacy for employment with the Lake of the Woods District Hospital including the confirmation of my past employment, educational credentials and other employment related activities. Questions about this collection should be directed to: Privacy Officer, Lake of the Woods District Hospital, 21 Sylvan St. W. Kenora, ON P9N 3W7 (807) 468- 9861.*
PHYSICAL EXAM: I understand that after a conditional offer of employment, I may have to take medical tests and/or a physical examination. The cost of these tests would be the responsibility of the employer. Physical exams after employment may also be required when the request is job-related.*
CRIMINAL RECORD CHECK: I understand that in conjunction with my application for employment, the Lake of the Woods District Hospital will require a criminal-record check of criminal convictions and pending prosecutions and that the information obtained as a result of this record may result in my not receiving an offer of employment, withdrawal of my offer of employment, or termination of employment.*
I verify that the information I have provided on this application is true and accurate and that I am legitimately seeking a job with the Lake of the Woods District Hospital. I understand that any omission of information requested or any false or misleading information that I furnish on or in connection with this application for employment may result in rejection of my application or termination of my employment for cause without notice or any further payment. By agreeing to these terms on this application form, I certify that I have read and agree to the terms of the above employment understanding*
APPLICATION PROCESS: Please note that Lake of the Woods District Hospital uses an electronic recruitment software system that uses automatic email responses, and sends direct communication using this system. In order to ensure communication is received, please check your junk email folder after you have submitted your application if you do not receive an automated response after submitting. This will ensure consistent communication throughout the process should you be selected for an interview.*
VACCINATION: Lake of the Woods District Hospital has a mandatory Staff Immunization and Surveillance Program, based upon the OMA/OHA Communicable Disease Surveillance. Are you willing to meet this requirement?*
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