Form Career Profile

							                                 CAREER PROFILE APPLICATION FORM
                                     Municipality of Chatham-Kent
                                              Internal/External Job Posting
                                                   Program Secretary
                                                       Job # PHU 10-14
                                     (Closing at 4:30 p.m., Wednesday, November 10, 2010)
Please attach this application form to the front of your resume. (Please do not include a cover letter).
PLEASE PRINT:
 Name:
                       (last name)                                      (first name or name known by)

 Address:              911 Street Address
                       Apartment/Unit #                     PO Box                                Rural Route
                       City/Town                                                                  Postal Code
 Telephone:            Home                                                    Cell
                       Work
 Email address:

Please see the bottom of the last page for instructions on completing this Career Profile and your resume.
Where boxes have been provided to insert your related experience, please include details of all your related experience to
match the years of experience you have included, along with when and where you obtained the experience. Your resume
should complement your career profile, but not replace the profile.

 Positions applying to:
                 Permanent part-time (dental)           Permanent part-time (clinic)           Temporary full-time (clinic)
 Education:
 Do you possess a college diploma (or university degree) from an Office Administration – Executive Office or Medical
 Office program? Yes        No
     If yes, please enter below the name of the program you graduated from.




     If no, do you possess equivalent or related education and experience? Yes               No
 If no, do you possess relevant education/work experience? Yes              No
     If yes, please include below any related office administrative courses you have taken.




 Related administrative experience: (please include the number of years of experience where asked)
 Do you possess related secretary/office administrative experience? Yes               No
     If yes, how many years of experience:
     If you checked yes above, please describe in detail in the box below your related secretary/office administrative experience
     (see job ad responsibilities and qualifications), and include when and where you obtained your experience.




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Program Secretary
Job # PHU 10-14


 Do you possess experience working in a dental office? Yes             No      and/or medical office? Yes          No
    If yes, how many years of dental office experience:
    If yes, how many years of medical office experience:
    If you checked yes above, please describe in detail in the box below your related dental and/or medical office experience,
    and include when and where you obtained your experience.




 Do you possess related reception experience in an office environment (both phone and front counter? Yes                   No
    If yes, how many years of experience:
    If you checked yes above, please describe in detail in the box below your related phone and front counter reception
    experience in an office environment, and include when and where you obtained your experience.




 Do you possess records management experience, including filing, photocopying, faxing, mail, minute distribution,
 purchase orders, etc.? Yes      No
     If yes, how many years of experience:
    If you checked yes above, please describe in detail in the box below your related records management experience, and
    include when and where you obtained your experience.




 Do you possess related experience coordinating appointments, meetings, workshops, and event planning, including
 organizing and coordinating, making bookings, and tracking registration in an office environment? Yes  No
    If yes, how many years of experience:
    If you checked yes above, please describe in detail in the box below your related experience in an office environment, and
    include when and where you obtained your experience.




 Do you possess related experience with documentation processes (i.e. web, phone messages, appropriate use of
 forms, minute taking, transcribing minutes, etc.)? Yes  No
     If yes, how many years of experience:
    If you checked yes above, please describe in detail in the box below your related experience in an office environment, and
    include when and where you obtained your experience.




 Do you possess related experience inventory and resource supply management (tracking, sourcing, ordering,
 purchasing of office supplies, meds, vaccines, etc.) in an office environment? Yes No
    If you checked yes above, please describe in detail in the box below your related experience in an office environment, and
    include when and where you obtained your experience.




 Do you possess related experience with database management? Yes                  No
    If you checked yes above, please describe in detail in the box below your database management experience, and include
    when and where you obtained your experience, and the types of database programs or software you have experience using.




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Program Secretary
Job # PHU 10-14


    Do you possess related experience with preparing reports, including searching for information for the reports in an
    office environment? Yes     No
       If you checked yes above, please describe in detail in the box below your related experience in an office environment, and
       include when and where you obtained your experience.



    Do you possess experience with OHIP billing? Yes                    No
       If you checked yes above, please describe in detail in the box below your related experience, and include when and where
       you obtained your experience.



    What level of skill/experience do you have with the following computer programs:
      Microsoft Word?               None     Novice    Intermediate  Advanced
       Microsoft Excel?                    None        Novice         Intermediate      Advanced
       Microsoft PowerPoint?               None        Novice         Intermediate      Advanced
    Medical software:
    Do you possess experience working with medical software programs? Yes                          No
       If yes, please include the names of the programs below:



Because of the environment this position will be working in, the successful candidate will be required to furnish an original
Police Information Search (criminal reference check) prior to commencement of employment.
Because this position may be required to travel, a valid Province of Ontario driver's license with a reliable motor vehicle is
preferred.
Are you legally entitled to work in Canada? Yes                  No
I certify that the information contained in this application is true and complete, to my knowledge. I understand that a false
statement may disqualify me from my employment or cause my dismissal. Yes

    Completed by: (print name)
    Date completed:
Applicant information is collected under the authority of the Municipal Freedom of Information and Privacy legislation and will be used strictly for the
purpose of candidate selection. The Municipality of Chatham-Kent is an equal opportunity employer. We thank all candidates in advance; however, only
those candidates selected for an interview will be contacted.

Instructions for completing this Career Profile and preparing your resume:
•     This Career Profile is in a MS Word or Adobe format; if you do not have the MS Word software program, please use the Adobe version
      (complete by hand)
•     Please do not include additional information in the Career Profile unless the profile asks for more details
•     Please answer ‘yes’ or ‘no’ to each question; please do not select both yes and no, or leave both blank
•     When a question asks for the number of years of experience, please only include a number; please do not include +, >, or < signs, or enter
      an approximate number of years
•     If you have less than one year experience, insert the number of months (i.e. 3 weeks, 7 mos., etc.)
•     In your career profile and in your resume, include detailed information for the questions where you answered ‘yes’ in the career profile
•     Where we have provided a box for you to include information about your related experience, please do not insert ‘see resume’; we ask that
      you include all the details of your related experience, including when and where you obtained the experience
•     Include your current and past employer’s names, and under each employer include your job titles, dates you were in each position, and
      details of your experience for each position relevant to this job position
•     Please do not include copies of transcripts, licenses, certificates, etc.
NOTE: The boxes where you are asked to include your experience will expand up to 2000 characters.
For information on what we look for in a resume, please see Applying & Interview Tips under JOBS at www.chatham-kent.ca. Your
resume should complement your career profile.



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