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Centre for Independent Living in Toronto (C.I.L.T.) Inc.
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Consumers - Registration & Post My Job Ad

NOTES:
  • 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 job ad 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 job ad".

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

First Name:*
Address:*
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:
 
Type of Work (check all that apply):
Regular Part-Time Occasional Vacation
 
Time of day (check all that apply):
Morning Afternoon Evening Overnight
 
Areas job offered (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:
 
Looking for someone experienced with the following disabilities (check all that apply):
ALS Cerebral Palsy Multiple Scerlosis Muscular Dystrophy
Non Verbal Spinal Cord Injury Others:
 
Services required (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 required & preference:
Languages required:
Require a valid Driver's Licence: Yes No
Preferred gender of attendant: Male Female
 
Comments & Extra information (Please list any special or short term requests here):
Agreement * By checking this box, I AGREE to the following:
           1. All employer/employee responsibilities are my own and not the Centre for Independent Living in Toronto (CILT) Inc;
           2. This information WILL be available to interested attendants through this website
           3. Payment is the responsibility of the attendant and myself
           4. I am willing and able to give direction to attendants.
* I affirm that I have read and agree to CILT's Disclaimer, Terms of Use and Privacy Policy.

         
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