Application For Employment

Contact Information

Name
Street Address
City, Prov.,  Postal Code
Home Phone
Work Phone
E-Mail Address

Education

Highest level completed?

Are you legally eligible to work in Canada?

Have you ever been employed by this company before? If yes, when: Reason for leaving:

Have you ever been convicted of a criminal offence for which pardon has not been granted?

Do you have a valid drivers license? Level acquired:

Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports (do not list clubs or organizations of a religious, racial, political or national characteur).

List two persons to whom we may refer (not relatives or previous employers):

I hereby declare that the foregoing information is true and complete to my knowledge. I understand that a false statement may disqualify me from employment or cause my dismissal.
I further understand that if this position requires a valid drivers license, proof thereof will be required after hire.

Name (printed)
Signature
Date

Thank you for completing this application and for your interest in employment with us.