HomeCanadian Red CrossPersonal Support Worker Level IIApplication for PSW Level IIHome Support ServicesPersonal Support Worker Level IApplication for PSW Level IRequest for additional course informationPhoto AlbumTestimonials from former students
Application for Enrollment

Personal Support Worker Level I

Contact information:
Given name(s) and initial:
Last name:
Address:
City:
Province & postal code:
Phone number with area code:
   
Next of kin & phone number:
Education Requirements:
To complete the application process the required documents listed below must be received by either fax, mail or in person.
   
 
Proof of grade 10
 
     or
Five (5) years in the health care field (a letter from previous and/or present employer is required)
 
Criminal history/records check within the last 3 years
Criminal history/records checks are available from city police or RCMP stations. (administration charges may apply)
If a pardon is needed it may be obtained from
canadianpardon.ca or call 1-800-298-5520
 
   
   

Permission to use photos taken for advertising purposes in ads or website:

Yes
No
   
 
   

Date (dd / mm / yyyy):