Employment Application Form

Please fill out the information below.

Personal Information

Name*

First Last

Email*

Address*

Street Address Address Line 2 City Province Postal Code

Phone 1*

Phone 2*

Social Insurance Number*

Drivers License Number*

License Expiration Date*

Vehicle Make*

Vehicle Year*

Emergency Contact Information

Name*

First Last

Address*

Street Address Address Line 2 City Province Postal Code

Phone*

Availability

Are you legally able to work in Canada ?*

Yes
No

Position Applied for:*

Driver
Walker
Bicycle
Office Help

What type of position are you seeking ?*

Full Time
Part Time

School Most Recently Attended:

Recent School Completed*

School*

Area of Study*

Have you graduated ?*

Yes
No

Date Graduated (if applicable)*

Most Recent Employment:

Company*

Reason for leaving*

Start Date*

End Date*

Company*

Reason for leaving*

Start Date*

End Date*

Physical

Any Health or Physical limitation which could affect your employment*

Yes
No

Please explain*

Agreement

Consent*

I agree.

I Certify that this information is accurate and complete. Giving incomplete or false information in an application for employment is a serious matter and is grounds for dismissal. I hereby acknowledge that R Courier Ltd. may request information regarding my character, general reputation or mode of living.

Full Name*