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Centre for Independent Living in Toronto (C.I.L.T.) Inc.

Attendants - Registration & Post My Profile

  • Fill in the following information that you want to be displayed on the website.
  • Fields marked with * are compulsory.
  • Fields marked with RED will NOT be displayed on the website.
  • Your profile will be posted after it is approved by the CAR administrator
  • Please remember your "User Name" and "Password", which are used for login.
  • If you forget your password, the CAR administrator will email you the password upon request. Please provide the following information matching the information that you have provided during registration - first name, last name, user name and email address.
  • If you do not want your information be posted on the website, check "Do NOT post my profile".

Date Registerd:     Date Updated:    (month/day/year)
Post my profile Do NOT post my profile
Personal Information:

First Name:*
Last Name:* Apt No:
Gender: * Male Female City: *
Email Address: * Province: *
Login Information User Name: *
Password: *
Enter Password again: *
Postal Code:
Home Telephone: * -
Work Telephone: - Ext:
Main Intersection:
References * (Your must provide the names and phones numbers/email addresses of two consumers you have worked for):
Name:   Telephone or Email Address:
Name:   Telephone or Email Address:
Type of Work (check all that apply):
Regular Part-Time Occasional Travel
Time (check all that apply):
Morning Afternoon Evening Overnight
Areas available to work in (check all that apply):
Ajax Burlington Bracebridge Gravenhurst
Guelph Hamilton Huntsville Kenora
Kingston Kitchener/Waterloo London Markham
Mississauga Newmarket Nipissing North Bay
Oakville Oshawa Ottawa Parry Sound
Peterborough Pickering Sarnia Sudbury
Thunder Bay Toronto - Downtown Toronto - East York Toronto - Etobicoke
Toronto - North York Toronto - Scarborough Toronto - York Windsor
Woodbridge Others:
Experience with the following disabilities (check all that apply):
ALS Cerebral Palsy Multiple Scerlosis Muscular Dystrophy
Non Verbal Spinal Cord Injury Others:
Services provided (check all that apply):
Meal Preparation Eating Assistance Lift Devices One Person Lift
Other transfers Bathing/Grooming Ventilators Bowel/Bladder Care
Catheterization Nurturing Assistance Overnight Travelling Shopping
Housekeeping Communication Aids Others:
Skills & Others:
Speak the following languages:
Have a valid Driver's Licence: Yes No
Have the following allergies:
Comments & Extra information (Examples: Training, certificates, relevant experiences):
Agreement * By checking this box, I AGREE to the following:
           1. This Form is NOT an employment application with the Centre for Independent Living in Toronto (CILT) Inc
           2. This information WILL be available to interested people with disabilities through this website
           3. Payment is the responsibility of the consumer and myself
           4. I am willing and able to take direction from consumers
* I affirm that I have read and agree to CILT's Disclaimer, Terms of Use and Privacy Policy.

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