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Canadian Application


Please answer the following questions:

 Yes   No 

 Yes   No 

 Yes   No 

 Yes   No 

 Yes   No 


PREVIOUS EMPLOYMENT (begin with last position - include military service) Reason for leaving (do not include leaves of absence related to maternity/parental leave, Workers' Compensation claims, handicap/disability, or human rights complaints) Period of employment (includes leaves of absence related to maternity/parental leave, Workers' Compensation claims, handicap/disability, or human rights complaints)

Dates Employed:


Dates Employed:


Dates Employed:



For employment references we may approach:

 Yes   No 

 Yes   No 


EDUCATIONAL RECORD

 9   10   11   12   13 

 Yes   No 


 Yes   No 


REFERENCES
Give three (3) personal references (not relatives, former fellow employees, or employers)




QUALIFIED APPLICANTS ARE CONSIDERED FOR ALL POSITIONS WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, NATIONAL ORIGIN, AGE, MARITAL OR VETERAN STATUS, OR DISABILITY.

- I agree to give the Authority two (2) weeks prior notice of resignation.
- I understand that a false statement may disqualify me from employment or cause my dismissal.
- I hereby declare that the foregoing information is true and complete to my knowledge. I understand that a false statement may disqualify me from employment, or cause my dismissal.