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#048-21 Occupational Therapy/Physiotherapy Assistant, Rehabilitation Services, Casual, Alliance Wide

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Have you graduated from a recognized Rehabilitation or OT/PT Assistant Program? (Required)

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Are you a relative of an employee at HPHA? Please indicate yes or no, and identify the employee(s).

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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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