Application Form




Position
Preferred Location
Salary expectation
Start date

Contact information
First Name
Middle Name
Last Name
Phone
Email
Address
City
Province
Postal Code
Are you eligible to work in Canada?   Yes   No

Education
Level
Length of Program
Major Subject
Completed
Degree / Diploma / Awarded
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Additional Qualifications
Work related skills, experience, or training

Language Abilities
Language
    Speak   Read   Write  
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Employment History
Company name
Type of business
Address
City
Province
Phone
Supervisor
Start Date
End Date
Job Title
Salary
May we contact this employer for a reference?
Yes   No

Reason for Leaving
Duties & Responsibilities
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Employment Questions
Have you ever been employed by Vetnure Steel before?   Yes   No
If yes, date left
What source referred you to this company?  
Do you have any relatives employed by Venture Steel?   Yes   No
If yes, provide name, relation and location of where they work.
Name
Relation
Location
Are you bondable?   Yes   No
Have you ever been convicted of a federal offence for which a pardon has not been granted?   Yes   No
Are you aware of any current health condition or allergy that would prevent you from performing the duties of the job you have applied for, or (b) would be hazardous to the safety of your co-workers, our customers or the public?   Yes   No

Position applied for requires driving a vehicle
Copy of Drivers abstract
Driver's License #
Province
Class
Expiry Date
List all your convictions for moving traffic violations in the last two years

List all your motor vehicle accidents during the last three years
List all safe driving awards you hold, and from whom

Additional information
Outside hobbies and interests, service clubs or professional associations

References
Name
Address
Phone
Occupation
Number of years known by applicant
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Other
Please provide examples of when these values have played a role in your past/current roles

Respect
Team Pride
Ethical Service

CONFIRMATION
  I hereby declare that the information on this application is true and complete to my knowledge.
  I understand that any false statement may disqualify me from employment, or cause my dismissal.
  I hereby authorize the company to verify my employment and credit background.