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#004-21 Infection Control Practitioner, Temporary Part-time, Alliance Wide

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Are you a Regulated Health Care Professional in good standing with current registration with respective professional body? (Required)

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Do you have a current registration with the Certification Board of Infection Control and Epidemiology or a commitment to completing the certificate within two years of employment is required as a condition for continued employment? (Required)

YesNo

Have you completed the Infection Prevention and Control Core Competencies course (required if CIC certification has not been obtained)? (Required)

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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.

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