Being a Provider:
Home Sharing & Respite Providers (Vancouver Island)
Home sharing is not generally viewed as an entry to the community living field. Home providers are considered independent contractors and are expected to have previous experience supporting adults with a developmental disability.
The following are some of the basic requirements for Home providers who contract with Community Living British Columbia (CLBC) and its partner agencies. Contractors must be able to provide a safe and welcoming home that offers the individual with the opportunity for inclusion. Home providers are also expected to understand and promote the vision, mission, and values of CLBC and its partner agencies.
What is your phone number?
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Are you at least 19 years old?
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Are you at least 19 years old?
Do you have a valid Class 5 driver’s license?
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Do you have a valid Class 5 driver’s license?
Are you a Canadian citizen or permanent resident?
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Are you a Canadian citizen or permanent resident?
Do you have a first Aid/CPR certificate?
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Do you have a first Aid/CPR certificate?
Do you have a current physician’s certification?
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Please note: A physician’s certification is a signed document from a doctor confirming that you are physically and mentally fit to provide care and support to others.
Do you have a current physician’s certification?
Are you comfortable supporting individuals with personal care needs?
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Are you comfortable supporting individuals with personal care needs?
Are you open to supporting individuals with complex service needs?
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Please note: Please indicate which of the following you are comfortable supporting.
Are you open to supporting individuals with complex service needs?
Does anyone in household smoke?
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Does anyone in household smoke?
Do you self-identify with any of the following?
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Where did you hear about home sharing services?
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Where did you hear about home sharing services?
What services are you Interested in offering?
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Please note: The following information is collected as some service providers may prioritize hiring of Indigenous candidates and/or lived or living experience.
What services are you Interested in offering?
If you are interested in providing respite support, please share your availability with us
Do you have a current Criminal Record Check (last 6 months)? If not, you will be required to obtain a current CRC
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Do you have a current Criminal Record Check (last 6 months)? If not, you will be required to obtain a current CRC
Is everyone in the home willing to undergo a criminal record check as part of the screening process?
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Is everyone in the home willing to undergo a criminal record check as part of the screening process?
Number of rooms available
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Number of people in household
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Private bedroom available?
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Private bedroom available?
Separate bathroom available?
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Separate bathroom available?
Please note: Describe who lives in your household, including any children, partners, extended family members, or others.
*(e.g., caregiving, support work, lived experience)
*(e.g., education, training, certifications)
Tell us about you and your home
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Please note: Include details about your background, interests, daily routines, and the living environment you offer.
Why interested in home sharing?
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Please note: Share your reasons and any relevant experiences that inspired you to explore this opportunity.
Is there any other information that would be helpful to know? (Special skills, experience, education, other?)
Collection Notice Personal information is collected via this form under sections 26(c) and (e) of the Freedom of Information and Protection of Privacy Act (FOIPPA) for the purposes of home sharing recruitment. Personal information will only be used by authorized personnel to fulfill the purpose for which it was originally collected or for a use consistent with that purpose unless you expressly consent otherwise. We may disclose your information to organizations actively recruiting for home sharing. If you have any questions about our collection or use of personal information, please direct your inquiries to the Executive Director at the Home Sharing Support Society BC Email: info@homesharingbc.ca "I consent to the collection of my information as outlined above."
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"I consent to the collection of my information as outlined above."