Respite Online Application

Thank you for applying to be an Aspire Respite Caregiver. Please complete as much of this application as possible. A Respite Manager will be in touch after they have reviewed your application.

Please select all availability options that apply to you

Please select all that apply

Please identify the level of support you can provide in the following areas

If you want to provide Respite in your own home, please check the below box and answer the following questions.

Please list all other members in the home along with their relationship to you and their age or birthdate

Terms and Conditions of being an Aspire Respite Caregiver:

As part of our screening process prior to a respite worker providing support, the following is mandatory and must be completed before providing respite:

Must be 19 years or older
Physician’s Reference Form
Criminal Record Check – Vulnerable Sector, renewed every 5 years
Valid First Aid & CPR, renewed every 3 years
Work/Character References
Driver’s Licence, Car Insurance (minimum $2 million in 3rd party liability), Driver’s Abstract (car is preferred, not required)
Home Safety Visit and/or Home Study (if providing hourly or overnight respite in your own home)
MCFD/CLBC Privacy Training
Respite Caregiver Orientation
Respite Services Contract

By signing your name below, you acknowledge that all information provided on this application form is accurate and true.

Please attach your resume by clicking Add Attachment

Respite Online Application - New Item