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Application for Employment


Full-Time Part-Time Temporary Seasonal Educational Co-Op Yes No English French Other Yes No Yes No Yes No Yes No Yes No WHMIS Yes No
Fall Protection Yes No
Working At Heights Yes No
Elevated Work Platforms Yes No
Confined Spaces Yes No

EDUCATIONAL BACKGROUND

List previous three (3) educational institutions attended, beginning with the most recent.

SCHOOL CITY, Province GRADUATED? DEGREE(s)/DIPLOMA(s)
EARNED
Yes No
Yes No
Yes No

EMPLOYMENT BACKGROUND

Provide the following information beginning with the most recent employer.

  /     /     /   Yes No Later
  /     /     /   Yes No Later
  /     /     /   Yes No Later
  /     /     /   Yes No Later


PLEASE ANSWER THE FOLLOWING QUESTIONS


REFERENCES

List the name, relationship, number of years acquainted, and phone number of three references. (No relatives please).

NAME RELATIONSHIP YEARS ACQUAINTED PHONE NUMBER

I certify that all the information I have provided is true, complete and correct.

I authorize you and your organization to investigate all statements contained on this application. I understand that any misrepresentation or omission of facts called for is cause for immediate disqualification and/or if employed, immediate dismissal.

Furthermore, I understand and agree that if employed, I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same rights to terminate my employment at any time, with or without prior notice, except as may be required by law. This application does not in any way constitute an agreement or contract for employment.

I understand that if I am hired, I will be required to provide proof of identity and legal authority to work in Canada.



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