Employment Application

Application Information

* Position Applying For:

* Region/Country Applying For:

* Date Available:

* Referred: Yes, name: No

* How did you hear about us?

Personal Information

* First Name:

* Last Name:

Middle Name:

* Address:

* City:

Province/State

Country

Postal/Zip Code:

* Main Phone:

Cell Phone:

* Email Address:

Are you over 18?

Are there any limitations which would prevent you from fulfilling the duties of this job? Yes No What are the limitations?

Transportation

License Province/State:

License Class:

* Do you have reliable transportation? Yes No

* Do you have a valid driver's license? Yes No

Experience

Created my own website

Freelance work

Created websites for friends and family

Owned my own company

School Projects

Worked for a Website Company

Other (specify):

Number of CAODC Accumulated Safety Days

List Your Last 3 Employers

Employer #1

Employer Name:

City:

Province:

Phone Number:

Position:

Start Date:

End Date:

Experience/Duties:

Reason For Leaving:

May we contact this company?

Employer #2

Employer Name:

City:

Province:

Phone Number:

Position:

Start Date:

End Date:

Experience/Duties:

Reason For Leaving:

May we contact this company?

Employer #3

Employer Name:

City:

Province:

Phone Number:

Position:

Start Date:

End Date:

Experience/Duties:

Reason For Leaving:

May we contact this company?

Additional Employers

Employer	Position worked	Duration

Education

High School Grade Completed:

Post Secondary:

Post Secondary Years Attended

Certificates

University Degree

College Degree

Certificate

Other Certificates:

Additional Information

Is there anything else you wish to tell us about yourself?

File attachment (PDF, DOC or DOCX), 2 MB max: Resume attatchment is mandatory

Conditions of Employment

Disclaimer: I understand that by submitting this application for employment, I certify that all information contained in this application is true and accurate. I understand that false information may result in no offer of employment or immediate dismissal. I authorize the Company Personnel Department to contact either my present or previous employer for references. Upon employment, I agree that my Social Insurance Number may be used as an employee I.D. number.

By submitting, I agree that all info entered was done accurately & truthfully and hereby agree to the above Conditions of Employment.

I agree