Name:
Address:
Phone Number:
City:
Province:
Postal Code:
E-Mail Address:

Are you legally entitled to work in Canada?

Yes No

What is your age?

Do you have a valid drivers license? Yes No

What is your expected salary per hour?

Position I am Interested In:

Employee  Subcontractor

Would you work:

Full Time  Part Time  Seasonal   Temporary

Have you ever had claims for injuries?

Yes No

If Yes, please explain

Highest Level of Education

Other courses, seminars or workshops

Employment History (Last 3 Employers)

From:
To:
Company Name:
Address:
Phone Number:
Position Held:
Salary:
From:
To:
Company Name:
Address:
Phone Number:
Position Held:
Salary:
From:
To:
Company Name:
Address:
Phone Number:
Position Held:
Salary:

 

I am providing this application for consideration of employment. 
I hereby confirm that the information given is accurate and agree as a
condition of this application to authorize an investigation 
of all statements contained in this application.

I understand that Golden Shield Construction's decision 
is based on non-discriminatory consideration and that any misrepresentation 
or omission of facts called, is just cause for the rejection 
of my application or my immediate dismissal.  

Applicant Signature:

Date:

 

  

Please fill in the entire form.