RESPITE WORKERS

Be the Support That Families Need

Respite work offers a unique and rewarding opportunity to provide short-term, occasional support to individuals with disabilities or complex needs. By stepping in for a few hours, a day, or longer, respite workers give family caregivers the essential time they need to rest, manage other responsibilities, or simply recharge.

This role is distinct from full-time caregiving or structured day programs—offering flexibility for both workers and families. Support may take place in the individual’s home, the respite worker’s home, or in the community, depending on the needs and preferences of everyone involved.

If you are compassionate, dependable, and seeking meaningful, flexible work that aligns with your values and availability, we invite you to apply.

Your support can make a lasting impact—start your application today!

Thank you for your interest in joining our Respite Worker Database! Respite work involves providing short-term, occasional support to individuals with disabilities or complex needs. Unlike full-time caregiving or structured day programs, respite is designed to oﬀer family caregivers a well-deserved break— whether for a few hours, a day , or longer. Support may take place in the family’s home, the respite worker’s home, or out in the community . If you feel that respite work aligns with your skills, values, and availability , we invite you to complete this application

1. By completing this application and selecting yes below "I understand that my personal information will be added to the Respite Worker Database and I agree that families may contact me directly to inquire about the services I provide.

Yes

2. Name(Required)

First Last

Preferred name (if applicable)

3. Phone(Required)

4. Email(Required)

5. What is your preferred method of contact?

By email

By phone

By text

No preference

6. What location/s do you want to work in?(Required)

Calgary SW

Calgary SE

Calgary NW

Calgary NE

Rural, outside Calgary Area

7. What are some of your personal interests, favorite leisure/recreation activities?(Required)

8. Do you like/have any animals?(Required)

9. Describe your strengths and areas you are working to improve?(Required)

10. What age/s do you feel comfortable working with(Required)

Infants and Toddlers

Preschool Age

Elementary School Age

Jr . High School Age

Sr . High School Age

Young Adults (18-24)

Adults (25-64)

Seniors (65+)

11. Do you smoke?(Required)

Yes, Cigarettes

Yes, Marijuana

Yes, Vape

Yes, Other (please Specify)

Other Smoke

12. If/when you provide care in your home, do you follow the Canada Food Guide while preparing and supplying snacks or meals?(Required)

Yes

Other (please specify)

Other Food Guide

13. What disabilities do you have experience with?(Required)

ADHD

Autism Spectrum Disorder

Blind

Cerebral Palsy

Deaf

Deafblind

Down Syndrome

Dyscalculia

Dysgraphia

Dyslexia

Epilepsy

Hard of Hearing

Intellectual Disability

Invisible Disability

Learning disabilities

Mental Disorder

Multiple Disabilities

Multiple Sclerosis

Muscular Dystrophy

Neurological Disorder

Physical Disability

Spinal Cord Injury

Traumatic Brain Injury

Vision impairment

Other

Disability - Other

Work Experiences

T o help protect privacy , we kindly ask that you do not include names or identifying details when completing this section of the application. Please share your experiences and examples in general terms so that confidentiality is maintained.

14. Why are you interested in providing respite care services?(Required)

15. Have you ever had a situation when the client was upset when the caregiver left, and how did you handle it?(Required)

16. What would you do if the client did not respond to your request?(Required)

17. If the client must be taken to the hospital for an emergency what steps would you take?(Required)

18. Describe a difficult issue you have experienced in the past with an individual you were supporting, how did you handle it?(Required)

19. Which of the following do you have? (check all that apply)(Required)

A valid class 5 driver’s licence

Your own reliable vehicle

Access to a reliable vehicle

Valid car insurance with minimum 1 million liability

A reliable ride to and from any location

A bus pass

None of the above

20. Would you be willing to take the people that you support to participate in various leisure and recreation activities?(Required)

Yes

21. You answered, YES, you'd be willing to take the people that you support to participate in various leisure and recreation activities in the community . For these outings, will you use:(Required)

Your own vehicle?

Public transportation?

Calgary Transit Access (if/when available)?

Other (please specify)

Other transportation

Job Expectations

22. What is your understanding of the duties and responsibilities of a respite worker , and what expectations do you have about this role?(Required)

23. What types of services do you provide? (check all that apply)(Required)

Personal Care

Medication Assistance

Participation in Community (ie.community based groups, recreation or leisure activities)

Light Housekeeping Duties

Companion Care

Meal Preparation

Appointment/Errand Support

Overnight Care in Your Home

Overnight Care in Client Home

Other (Please specify)

Other services provided

24. Are you willing to sign both a Respite Worker Contract (which outlines compensation, expectations, duties, and responsibilities) and a Confidentiality Agreement?(Required)

Yes

25. You responded that you are not willing to sign both a Respite Worker Contract (which outlines compensation, expectations, duties, and responsibilities) and a Confidentiality Agreement? Please explain why you are unwilling.

Work Availability and Transportation:

26. Please indicate the times you are available and willing to provide support. (Check all that apply)(Required)

Daytime

Evenings

Overnight

Weekends

Holidays

27. Are there any specific times that you are not able to work?(Required)

28. How much notice do you need to prepare before providing support to someone?(Required)

29. Are you willing to provide support on short notice or for family emergencies?

Yes

Other (please specify)

Other support

30. What is the best method to communicate with you on a regular basis?(Required)

Text

Phone

Any of the above

Documents and Certificates:

31. What certificates, courses, and training do you have? (Proof Required)(Required)

APRP (Abuse Prevention and Response Protocol)

CPR/First Aid Training

PIPA Training (Personal Information Protection Act)

Med Assist or Similar Medication Certification

Non-violent Crisis Intervention (CPI)

Respite Workers Training Course or equivalent

Other

Other Certificates/Courses/Training

32. Please upload a current resume(Required)

Max. file size: 8 MB.

33. Please provide the name, company , position and phone number of 3 references that we may contact.(Required)

34. Please upload your current PIC (Criminal Record Check with Vulnerable Sector Verification) obtained in Calgary (and area) less than 6 months ago(Required)

Max. file size: 8 MB.

35. Please upload your valid CPR/First Aid(Required)

Max. file size: 8 MB.

36. Please upload any other valid/relevant certificates, courses, or training that you have

Max. file size: 8 MB.

37. Is there anything else you would like us to know about you?