Application For Employment

Click here to download application form PDF

Location Applied At: Date:

Personal Information
First Name: Middle Name:
Last Name: Postal Code:
Email
Street Address:
City: Home Phone:
Province: Work Phone:
Social Insurance Number:

Employment Desired
Describe any of your work-related skills, experience, training, or activities that relate to the position being applied for. (You may
decline to list any organization which may indicate your race, religion, age, marital status, gender, sexual orientation, etc.)
Position Applied For: Full Time Part Time
Date available for Employment:
Salary Desired:
Explain:

Employment Background
Begin with current/most recent employer.)
Date Month/Year Company name
and address		 Supervisor's name and phone number Position and duties Reasons for leaving Salary
May we contact your current/most recent employer? Yes No May we contact your former employers? Yes No
From:
To:
From:
To:
From:
To:

Educational Background
School Attended Type of Degree/Diploma/Certificate obtained
or highest grade completed:		 Major Course/ Field of Study
Secondary/High School
Trade/Technical/Vocational School
University/College
Other

References
List two individuals who have known you for at least three years and who have knowledge of your qualification, excluding relatives and former employers
Name Occupation Telephone Number

Statement
I certify that the statements made by me on this application are true and complete to the best of my knowledge.
I understand and agree that if any such information is at any time found to be false, such information is just cause for the rejection of my application or immediate dismissal without notice and for cause.
As a condition of my application for employment, I authorize investigation of all statements contained in this application.

Job Requirements:

1.   Clean Driving record - we will require a Driver’s Abstract within the last six months; and
2.   a Criminal Record Clearance.

Security Code: