519-363-3039
Fax: 519-363-2203 areld@bmts.com ____________________________________________________________________________________________________
APPLICATION FORM
SECTION 1 (Completed by the applicant)
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DATE
OF APPLICATION: |
DATE
AVAILABLE TO START: |
ARE
YOU CURRENTLY EMPLOYED? [ ] YES [ ] NO |
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POSITION
APPLIED FOR: |
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SECTION 2 (Completed by the applicant)
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FIRST
NAME: |
MIDDLE
INITIAL: |
LAST
NAME: |
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CURRENT
ADDRESS: |
APARTMENT
NUMBER: |
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CITY: |
PROVINCE: |
POSTAL
CODE: |
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HOME TELEPHONE NO: ALTERNATE
TELEPHONE NO: |
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ARE YOU LEGALLY ELIGIBLE
TO WORK IN CANADA? [ ] YES [ ] NO |
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ARE YOU OVER THE AGE OF
16? [ ] YES [ ] NO |
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DO
YOU HAVE A VALID |
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HAVE
YOU EVER BEEN CONVICTED OF A CRIMINAL OFFENCE FOR WHICH YOU HAVE NOT RECEIVED
A PARDON? [ ] YES [ ] NO |
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DO
YOU HAVE ANY RELATIVES WHO WORK FOR THE MUNICIPALITY OF ARRAN-ELDERSLIE? [ ] YES [ ] NO |
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IF
YES, PLEASE STATE THE NAME OF THE PERSON: |
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SECTION 3 (Completed by the applicant)
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EDUCATION: [
] Completed Elementary [ ] Completed High School [
] Completed College [ ] Obtained University Degree [
] Other (please specify) |
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PLEASE
INDICATE HIGHEST GRADE LEVEL COMPLETED OR DIPLOMA AND/OR DEGREES OBTAINED: |
SECTION 4 (Completed by the applicant)
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ADDITIONAL
EDUCATION, LICENCES OR TRAINING: |
Personal
information on this form is collected pursuant to the Municipal Act, 2001, S.O. 2001, C.25, as amended. This information will be used for the purpose
of determining eligibility for employment.
Application
Form – Page 2
SECTION 5 – BEGIN WITH MOST RECENT JOB (Completed by the applicant)
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NAME
OF EMPLOYER: |
TYPE
OF BUSINESS: |
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ADDRESS: |
PHONE
NUMBER: |
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MUNICIPALITY: |
PROVINCE |
POSTAL
CODE: |
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NAME
OF SUPERVISOR: |
FOR
PURPOSES OF OBTAINING EMPLOYMENT INFORMATION MAY WE CONTACT THIS EMPLOYER? [ ] YES [ ] NO |
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DUTIES/RESPONSIBILITIES: |
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REASON
FOR LEAVING (IF APPLICABLE): |
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NAME
OF EMPLOYER: |
TYPE
OF BUSINESS: |
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ADDRESS: |
PHONE
NUMBER: |
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MUNICIPALITY: |
PROVINCE |
POSTAL
CODE: |
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NAME
OF SUPERVISOR: |
FOR
PURPOSES OF OBTAINING EMPLOYMENT INFORMATION MAY WE CONTACT THIS EMPLOYER? [ ] YES [ ] NO |
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DUTIES/RESPONSIBILITIES: |
|||
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REASON
FOR LEAVING: |
|||
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NAME
OF EMPLOYER: |
TYPE
OF BUSINESS: |
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ADDRESS: |
PHONE
NUMBER: |
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MUNICIPALITY: |
PROVINCE |
POSTAL
CODE: |
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NAME
OF SUPERVISOR: |
FOR
PURPOSES OF OBTAINING EMPLOYMENT INFORMATION MAY WE CONTACT THIS EMPLOYER? [ ] YES [ ] NO |
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DUTIES/RESPONSIBILITIES: |
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REASON
FOR LEAVING : |
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SECTION 5 (Completed by the applicant)
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I
confirm all of the information provided is true and accurate. I understand that any misrepresentation may
disqualify me from employment and/or cause my dismissal. I also authorize the use of information provided
on this application for obtaining employment references as indicated above. |
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SIGNATURE: |
DATE: |