Extern Screening Questions

Are you a student or IEN? Please complete the pre-screen that applies to you.

STUDENT:

 Are you available for at least 4 shifts per every month (12 hours/ days/ nights (M-F)/ 4 out of 6 weekends)? YES-
proceed with questions below. Do not schedule for interview if there is no availability.

1.       Are you a relative of a current Trillium Health Partners Employee?

      If you responded YES, please indicate the name and relationship to the Trillium Health Partners employee.

2.       Are you eligible to work in Canada?

3.       Have you ever been convicted of a criminal offence in Canada for which a Record Suspension (also known as a
Pardon) has not been granted?

4.       Have you been previously employed by Trillium Health Partners? If you previously worked for Trillium Health
Partners, please indicate department and role.

8.   Do you have any pre-scheduled vacation planned over the next three months?

9.   Please indicate the name of the school that you are currently enrolled in.

11.   What year of schooling are you currently in?

12.  In order to work at THP, we require all staff to be fully vaccinated for COVID19 among other vaccinations required
by the Public Hospital Act. Have you been fully vaccinated for COVID19? If your answer is no, do you have
documentation to support a medical exemption or accommodation?

IEN:

Have you received a letter of direction from CNO?

1. Full time availability (12 hour Days/ nights/ weekends) (schedule to be confirmed –likely DDNN 5 days off)

2. Part-time availability: Are you available for at least 4 shifts per every 2 weeks (12 hours/ days/ nights (M-F)/ 4
out of 6 weekends)?

3. Are you on a student visa?

4. Do you have a PSW certificate?

5. Are you a relative of a current Trillium Health Partners Employee? If you responded YES, please indicate the
name and relationship to the Trillium Health Partners employee.

6. Are you eligible to work in Canada?

7. Have you ever been convicted of a criminal offence in Canada for which a Record Suspension (also known as a
Pardon) has not been granted?

8. Have you been previously employed by Trillium Health Partners?

9. If you previously worked for Trillium Health Partners, please indicate department and role.

10. How did you hear about this job opportunity?

11. Are you applying for a Registered Nurse or Registered Practical Nurse position?

12. Do you have any pre-scheduled vacation planned over the next three months?

13. In order to work at THP, we require all staff to be fully vaccinated for COVID19 among other vaccinations
required by the Public Hospital Act. Have you been fully vaccinated for COVID19? 2 If your answer is no, do
you have documentation to support a medical exemption or accommodation?