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Employment Application Form
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Employment Application Form
Job Application
Please fill out the information below.
Personal Information
Name
*
First
Last
Email
*
Address
*
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Phone 1
*
Phone 2
*
Drivers License Number
*
License Expiration Date
*
MM slash DD slash YYYY
Vehicle Make
*
Vehicle Year
*
Emergency Contact Information
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
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
*
Highschool
College
University
Other
School
*
Area of Study
*
Have you graduated ?
*
Yes
No
Date Graduated (if applicable)
*
MM slash DD slash YYYY
Most Recent Employment:
Company
*
Reason for leaving
*
Start Date
*
MM slash DD slash YYYY
End Date
*
MM slash DD slash YYYY
Company
*
Reason for leaving
*
Start Date
*
MM slash DD slash YYYY
End Date
*
MM slash DD slash YYYY
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
*