Medical Travel Coordinator Candidate Information Form

Personal Information

Full Legal Name

Preferred Name

Date of Birth

Nationality

Current Country of Residence

Current Address in Canada

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone Number

LinkedIn Profile

Emergency Contact Name

Emergency Phone Number

Immigration & Work Authorization

What is your current immigration status in Canada?

Upload a copy of your current immigration/work authorization document

Choose File

Current permit expiration date

Are you legally authorized to work in Canada?

Yes

Unsure

Do you currently require employer support for continued work authorization in Canada?

Yes

Have you previously applied for permanent residency in Canada?

Yes

If yes: Please specify the immigration stream/program

Have you ever been refused a visa, permit, or immigration application for Canada or another country?

Yes

If yes: Please provide details

Nursing & Healthcare Credentials

Professional Title

Country of Nursing Registration

Nursing License Number

Licensing Authority

Current License Status

Are you currently registered with the College of Nurses of Ontario (CNO)?

Yes

In Process

Upload nursing license / credentials

Choose File

Upload resume/CV

Choose File

Employment History

Current Employer

Current Position

Employment Start Date

Main Responsibilities

Previous Healthcare Experience

Employer	Position	Country	Years Worked

Flight Nurse Experience

Medical Travel & Coordination Suitability

Do you have experience communicating with international patients?

Yes

Are you comfortable working remotely and using digital communication platforms?

Yes

Are you comfortable assisting international patients before and after medical procedures?

Yes

Availability & Compensation

Weekly Availability

Expected Hourly Compensation (CAD)

Earliest Available Start Date

Candidate Motivation

Why are you interested in working with Carenfly?

Compliance & Declarations

Please review and confirm the statements below before submitting your application.

Accuracy Declaration

I confirm that all information provided in this application is accurate and truthful to the best of my knowledge.

Consent & Privacy

I consent to Carenfly collecting and reviewing my information for employment, compliance, operational, and legal assessment purposes in accordance with the Privacy Policy.

Work Authorization Acknowledgement

I understand that employment eligibility may be subject to immigration, licensing, and legal verification requirements in Canada.

I have read and agree to the Terms and Conditions and Privacy Policy

Electronic Signature : By signing, you confirm that the information provided is accurate to the best of your knowledge.

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Care’n Fly Inc. is a federally incorporated company in Canada. Corporation Number: 1724247-6 Registered Office: Toronto, Ontario, Canada