Full Name*

Phone Number*

Email Address*

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Employment Status*

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Have you reviewed program requirements for this program and are you eligible for this position as per CNO requirements?*

Yes

The HPHA is comprised of 4 sites: Stratford, Seaforth, Clinton and St. Marys. What site would you prefer to complete the practice experience at?

Have you received the required 2 doses of a COVID-19 vaccine approved by Health Canada?*

Yes

Do you live within one hour of any of our four sites?*

Yes

Are you a relative of an employee at HPHA? Please indicate yes or no, and identify the employee(s).*

How did you first find out about this opportunity?*

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.*

Yes

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Apply to Supervised Practice Experience Partnership (SPEP), Temporary Full-time, Huron Perth Healthcare Alliance

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