Please submit this application form if you are interested in obtaining employment with the Langley Association for Community Living.
1. Name
2. Primary Phone
3. Email
4. Check the position(s) you are interested in
Vocational Counselor - supporting individuals to seek employment in their community
Child and Youth Worker - supporting children and youth with special needs in a residential setting
Community Support Worker - supporting a person, or group of people, in their homes and the community
5. How did you find out about the position(s) you are applying for (e.g. LACL website; Craigslist, etc.)
6. Why are you interested in working for the Langley Association for Community Living?
Maximum of 250 words
Willing to have a criminal record check(s) performed
Valid Class 5 Driving license
Able to work in Canada
Provision of a certificate of good health by a Doctor
Able to use a personal vehicle for work (daily)
7. Check all that apply to you.
8. What position(s) are you interested in? (check all that apply)
Full time
Part time
Anything available
9. Describe any limitations regarding your ability to lift or transfer someone you may support in the course of your work.
10. Describe any limitations that would affect your ability to support an individual to participate in physical / recreational activities.
11. Describe any known allergies (e.g. pets / foods) and any relevant limitations as a result.
19 years of age or older at the date of application
Click for new image
Please enter the letters or numbers exactly as they appear.
12. Please list any other languages that you speak fluently besides English.
13. Please list any other languages that you write fluently in besides English.
14. Consent to use my personal email
If I am hired I consent to LACL using my personal email address to communicate with me.  I also consent to LACL using my personal email address for all LACL electronic communications and training, including, all web-based training and information resources subscribed to by LACL.
NO, I do not give consent. LACL will contact me to arrange an alternate if I am hired.
If I am hired, photos and videos may be taken during my workday at LACL or at events and activities hosted by LACL.  I consent to these photos and / or videos being  used on the LACL website, in ShareVision, in LACL promotional material, newsletters and other LACL publications.  I waive any right to inspect or approve the finished or publicized photographs or videos.
OPTION 1 - If I am hired, I authorize LACL to forward to Hub International - Barton Insurance Brokers my first and last name, date of birth and driver’s licence number for the purpose of obtaining my driver’s abstract on an annual basis for the duration of my employment.
OPTION 2 - If I am hired, I do not wish LACL to obtain my driver’s abstract from ICBC on my behalf.  I agree to give a copy of my driver’s abstract to LACL annually for the duration of my employment.
If I am hired, I do NOT authorize LACL to use my photograph or video in which I appear in any LACL publication, advertising materials (printed or electronic) or on the LACL website or ShareVision.
LACL is required by CARF, our accrediting body, to obtain a driver’s abstract from each employee on an annual basis. LACL can obtain an employee driver’s abstract from ICBC via its insurance agents, Hub International - Barton Insurance Brokers, with an employee's permission. 
Photos and / or videos enable LACL to showcase our services.  For these reasons, we ask your permission to share photos and / or videos which include you. Please check one of the following options:
15. Consent to obtain a driver's abstract on an annual basis (please complete option 1 or 2 below)
16. Employee Photograph and Video Consent
17. I understand LACL may verify information I submit for this application.  I understand that by checking YES I give my consent to all information provided above.
Please attach your résumé
in WORD or PDF format.
Click SEND to submit your employment application.
Head Office:
23535 - 44th Avenue
Langley, BC, V2Z 2V2
Office Hours:
8:00 am to 4:00 pm
Monday to Friday
Phone: 604-534-8611
Fax: 604-534-4763
© 2014 Langley Assocation for Community Living
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