Applicant Information
Last Name:
First Name: Date: March 10, 2010
Address: Apartment/Unit#:
City: Province: Postal Code:
Phone: Email:
Date Available: PopUp Calendar Desired Salary: per hour
Position applied for:  
Are you a Canadian citizen?
If no, are you authorized to work in Canada?
Have you ever worked for Gorge Vale?
If yes, when?
Are you bondable?
If no explain:


Education
High School: Address:
From: To: Did you graduate?
Degree:
College:
Address:
From: To: Did you graduate?
Degree:
Other:
Address:
From: To: Did you graduate?
Degree:


References
Please list three personal references:
Last Name:
First Name: Relationship:
Address: Apartment/Unit#: City:
Province: Postal Code: Phone:
Last Name:
First Name: Relationship:
Address: Apartment/Unit#: City:
Province: Postal Code: Phone:
Last Name:
First Name: Relationship:
Address: Apartment/Unit#: City:
Province: Postal Code: Phone:


Previous Employment
Company: Phone:
Address: Apartment/Unit#:
City: Province: Postal Code:
Job Title: Supervisor:
Responsibilities: From: To:
Reason for leaving: May we contact your previous supervisor for a reference?
Company: Phone:
Address: Apartment/Unit#:
City: Province: Postal Code:
Job Title: Supervisor:
Responsibilities: From: To:
Reason for leaving: May we contact your previous supervisor for a reference?
Company: Phone:
Address: Apartment/Unit#:
City: Province: Postal Code:
Job Title: Supervisor:
Responsibilities: From: To:
Reason for leaving: May we contact your previous supervisor for a reference?


Disclaimer and Signature
I understand there may not be any positions available at this time.
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false of misleading information in my application or interview may result in my release.
NOTE - APPLICATIONS WILL BE KEPT ON FILE FOR 3 MONTHS Date: 3/10/2010 1:38:27 AM




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