Application for Employment

The Human Rights Codes prohibit discrimination in employment because of race, ancestry, place of origin, colour, national or ethnic origin, citizenship, religion, creed, sex or sexual orientation, age, marital or family status, record of offenses (including an offense in respect of any provincial stature), handicap, disability, language (Province of Quebec).

Personal


Present Address




( )



Job(s) Applied for

$

$


Are you available to work:
                  Calendar to Calendar




Have you worked for us before?
     




Calendar

If hired, do you have reliable transportation to get to work?
     







Education

Provide below all information relevant to your educational background. Where appropriate describe: course of study, any honors received, specialized training and apprenticeship skills.

Years Completed

Elementary
School

High
School

Undergraduate
College/University

Graduate /
Professional



















Diploma / Degree

Describe Course of Study

Describe any Honors Received

Describe any Specialized Training




Work Experience

Starting with your present job, include any job-related military service assignments and volunteer activities. Please exclude information that would indicate any prohibited grounds of discrimination.

Dates Employed


Rate of Pay

Dates Employed


Rate of Pay

Dates Employed


Rate of Pay




Personal References

Give the names of at least 3 persons who can supply information pertinent to your job performance, excluding former employers or relatives.

Name

Occupation

Address

Telephone

Email

( )
( )
( )
( )

To assist us in finding the proper position for you in our company, use the space below to summarize any additional information necessary to describe your skills and qualifications. Please exclude information that would indicate any prohibited grounds of discrimination.




Applicant's Certification and Agreement

Please Read Carefully

The parties acknowledge that they have required that this application form and all related documents be prepared in English (province of Quebec).

Les parties reconnaissent avoir éxigéque la présente demande d'emploi et tous les documents conexes soient rédigés en anglais.

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge. I understand that if employed, falsified statements on this application shall be considered sufficient cause for dismissal.