Employment Application
 

Personal Information
You are not obligated to answer questions you may find offensive.
 
Fields marked with an asterisk (*) are required.

*First Name *Last Name    *Sex  M/F
Present Address
City Postal Code
Residential Status Own Rent Parents      *Home Phone #
Date of Birth (MM/DD/YY)
Spoken Languages
In case of emergency, please contact
Relation        Phone #
Social Insurance #
*Do you have a valid Drivers License? Yes No
If yes, License #
If yes, have you had a ticket/accident in the past 3 yrs.? Yes No
Details
*Do you have personal vehicle insurance? Yes No
Medical History - do you have any medical conditions, which may interfere with the position applied for?
*Highest level of education? *Are you a student?
*Any experiences, part time studies, or skills that you feel would be an asset to our company?
Do you have a criminal record? Yes No
If yes, please explain
Position applied for Rate of pay expected $
*Full-time Seasonal or Summer Job? *Available from
*Are you available to work Saturdays? Yes No
 

Employment History

(List below, beginning with most recent)
*Name of Company: *How long did you work there?
*Your position: *Supervisor:
*Phone #:
*Describe the kind of work and duties performed:
Name of Company: How long did you work there?
Your position: Supervisor:
Phone #:
Describe the kind of work and duties performed:
*May we contact the above employers? Yes No
*If no, which one do you not wish us to contact?
 

Reference
Name & Occupation:
Phone #:
 
I authorize Solda Pools Ltd. in the event that I am selected as a designated driver, to obtain copies of my drivers abstract, CVOR reports, insurance reports or any other information and documentation as may be necessary in the hiring process.
 
The above information is true, accurate and complete. Yes No
 
 
 
phone #

905.796.6500
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