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Employment Application
Employment Application
Personal Information
First Name:
*
Last Name:
*
Address:
*
Province:
*
Postal Code:
*
SS Number:
Home Phone#
*
Cell Phone#
Employment Information
Positons Applied for(seperate by commas):
*
Salary Desired:
*
Hours Available to work:
Monday:
*
Tuesday:
*
Wednesday:
*
Thursday:
*
Friday:
*
Saturday:
*
Sunday:
*
Full-Time
Part-Time
Full or Part-Time
When are you available to begin work?
*
Misc. Information
Ever been convicted of a crime:
yes
no
If yes, please explain:
Do you have a drivers License?
yes
no
Province of Issue:
Have you had any accidents in the past 3 years?
yes
no
How many?
Do you have any moving violations in the past 3 years?
yes
no
How many?
Prevous Employment
1.
Employer Name:
*
Dates of employment:
From:
To:
Salary:
From:
To:
Complete Address:
Phone #:
Reason for leaving(be specific):
List the jobs you held, duties performed:
May we contact your employer:
yes
no
2.
Employer Name:
Dates of employment:
From:
To:
Salary:
From:
To:
Complete Address:
Phone #:
Reason for leaving(be specific):
List the jobs you held, duties performed:
May we contact your employer:
yes
no
3.
Employer Name:
Dates of employment:
From:
To:
Salary:
From:
To:
Complete Address:
Phone #:
Reason for leaving(be specific):
List the jobs you held, duties performed:
May we contact your employer:
yes
no
Personal Skills
Skills:
Typing:
Applications: (List all that apply):
Other Skills:
References
1.
Name:
Position:
Company:
Telephone:
2.
Name:
Position:
Company:
Telephone:
3.
Name:
Position:
Company:
Telephone:
Additional Information
Use this space to add any additional information necessary to describe your full qualifications for the position which you are applying:
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