Support Worker Program
Support Worker Screening Form
Northern Regional Care Program
Southern Regional Care Program
Poplar River First Nation
Pauingassi First Nation
Little Grand Rapids First Nation
Black River First Nations
Hollow Water First Nations
Brokenhead Ojibway Nation
Bloodvein First Nation
Berens River First Nation
How You Can Support
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Support Worker Screening
Please fill out the fields below.
What you do know about the Support work Program?
How did you hear about the Support Work Program?
Word of mouth
If you were referred to us, who referred you?
Would you like to self-declare (First Nation, Metis, Inuit)?
If you selected Yes above, what community?
Valid Manitoba Drivers Licence?
Own a Vehicle/Access to a Vehicle
Do you have a satisfactory Background Checks (Background checks are condidered current as of 3 Months)
Proof of Vaccination
Certification and Training: (Do you have any of the following:
CPR First Aid Training
When is the best time to call for a follow-up from our staff?
Anything else you would like to add?
Do you have a resume? If so please attached