Tell Us About Yourself

PERSONAL INFORMATION:

Your Name (required)

Address

City

Province/State

Postal Code/Zip Code

Phone #

Your Email (required)


ADDITIONAL INFORMATION:

Referred by

Position(s) applied for

Salary/pay rate desired

Type of employment desired
 Full-time Part-time Temporary Internship

Are you legally eligible for employment in this country?

What languages do you speak?

As part of our company policy, it is standard procedure to perform a criminal background check on someone we are considering for employment. Would you object to such a procedure?
 Yes No

Please attach resume: (PDF only max: 2mb)


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

EDUCATIONAL BACKGROUND - Institution 1

School

CITY, Province, State

GRADUATED?

DEGREE(s)/DIPLOMA(s) EARNED


EDUCATIONAL BACKGROUND - Institution 2

School

CITY, Province, State

GRADUATED?

DEGREE(s)/DIPLOMA(s) EARNED


EDUCATIONAL BACKGROUND - Institution 3

School

CITY, Province, State

GRADUATED?

DEGREE(s)/DIPLOMA(s) EARNED


EMPLOYMENT BACKGROUND
List previous three (3) employers, beginning with the most recent.

EMPLOYMENT BACKGROUND - POSITION 1

EMPLOYER

EMPLOYER ADDRESS

TELEPHONE

JOB TITLE

IMMEDIATE SUPERVISOR AND TITLE

REASONS FOR LEAVING

DATES EMPLOYED

From:

To:

HOURLY RATE/SALARY

Starting

Final:

SUMMARIZE THE TYPE OF WORK PERFORMED AND JOB RESPONSIBILITIES

MAY WE CONTACT FOR REFERENCE?
 Yes No


EMPLOYMENT BACKGROUND - POSITION 2

EMPLOYER

EMPLOYER ADDRESS

TELEPHONE

JOB TITLE

IMMEDIATE SUPERVISOR AND TITLE

REASONS FOR LEAVING

DATES EMPLOYED

From:

To:

HOURLY RATE/SALARY

Starting

Final:

SUMMARIZE THE TYPE OF WORK PERFORMED AND JOB RESPONSIBILITIES

MAY WE CONTACT FOR REFERENCE?
 Yes No


EMPLOYMENT BACKGROUND - POSITION 3

EMPLOYER

EMPLOYER ADDRESS

TELEPHONE

JOB TITLE

IMMEDIATE SUPERVISOR AND TITLE

REASONS FOR LEAVING

DATES EMPLOYED

From:

To:

HOURLY RATE/SALARY

Starting

Final:

SUMMARIZE THE TYPE OF WORK PERFORMED AND JOB RESPONSIBILITIES

MAY WE CONTACT FOR REFERENCE?
 Yes No


EMPLOYMENT BACKGROUND - Additional Info.

COMMENTS INCLUDING EXPLANATION OF ANY GAPS IN EMPLOYMENT.

What was the best job you've ever had? Why did you like it so much?

What was your least favorite job? What did you not like about it?

Who was the best supervisor or manager you've had? What characteristics made that person a good manager?

Think of the worst supervisor or manager you've had. What characteristics made that person a poor manager?

What are your greatest strengths?

As your skills and abilities relate to your work experiences, what are the areas for improvement?

What traits or characteristics do you most admire in co-workers?

What traits or characteristics do you most DISLIKE in co-workers?


REFERENCES

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

Reference 1

Name:

RELATIONSHIP:

YEARS ACQUAINTED:

PHONE NUMBER:

Reference 2

Name:

RELATIONSHIP:

YEARS ACQUAINTED:

PHONE NUMBER:

Reference 3

Name:

RELATIONSHIP:

YEARS ACQUAINTED:

PHONE NUMBER:

Reference 4

Name:

RELATIONSHIP:

YEARS ACQUAINTED:

PHONE NUMBER:

Reference 5

Name:

RELATIONSHIP:

YEARS ACQUAINTED:

PHONE NUMBER:



TERMS AND CONDITIONS


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.

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 the country.

Check box to convey agreement with these terms and conditions.