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APPLICATION FOR EMPLOYMENT
Date of Application / /  
This application will be considered active for 30 days, for consideration after 30 days you must reapply.
Personal Information
Last Name         First     Middle     Social Insurance Number  
Home Address City Prov PC Home Phone  
                  (           )  
Position applying for:         Date available:   Availability
                  Day Sun Mon Tues Wed Thur Fri Sat
Are you over 25 years of age?     Yes ____    No ____    Date of birth _____________ From              
Schedule Preference: Full Time
Part Time
Salary Expectations: ___________________ To              
Language Skills:                              
Have you ever been employed by River City Courier?   Yes ____    No  _____ If so, when? ____________________________  
How were you referred to our company?_______________________________________________________________________________
Education
Type of School Name and Location of School Degree/Area of Study Number of Years Attended Degree or Diploma Received?
High School                                
Business Trade/ Other                                
College                                
Legal          
Are you a Canadian citizen or do you have a legal right and necessary documents to work in Canada? Yes ____ No ____    
   
Were you ever discharged by any company?  Yes ____   No ____  If yes, give name of company(ies) and reason for discharge
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
   
                                 
Employment Start with your present or most recent employer                  
Employer Name Street Address City Prov Phone Number  
                        (          )      
Supervisor Name & Title Employed From __________ to __________   Position Held:  
                           
May we contact?  Yes ____  No ____ Reason for leaving: _______________________________ Weekly Pay: Begin ______  End _____
                                 
Employer Name Street Address City Prov Phone Number  
                        (          )      
Supervisor Name & Title Employed From __________ to __________   Position Held:  
                           
May we contact?  Yes ____  No ____ Reason for leaving: _______________________________ Weekly Pay: Begin ______  End _____
 
Employer Name     Street Address   City   Prov   Phone Number    
                        (          )      
Supervisor Name & Title Employed From __________ to __________   Position Held:  
                           
May we contact?  Yes ____  No ____ Reason for leaving: _______________________________ Weekly Pay: Begin ______  End _____
Employer Name     Street Address   City   Prov   Phone Number    
                        (          )      
Supervisor Name & Title Employed From __________ to __________   Position Held:  
                           
May we contact?  Yes ____  No ____ Reason for leaving: _______________________________ Weekly Pay: Begin ______  End _____
Employer Name     Street Address   City   Prov   Phone Number    
                        (          )      
Supervisor Name & Title Employed From __________ to __________   Position Held:  
                           
May we contact?  Yes ____  No ____ Reason for leaving: _______________________________ Weekly Pay: Begin ______  End _____
References Business reference (please indicate if you were employed under a different name)
Name     Business     Title     Work Phone   Years Known
                                 
                                 
                                 
                                 
APPLICANT'S SIGNATURE ________________________________________ DATE SIGNED ___________________________
Independant Contractor Information
   
Legal Business Name: ________________________________________________________________  
   
Workers Compensation Account #: ______________________________________________________  
   
Corporation #: ______________________________ Business Number : ____________________  
   
Contact:_____________________________ Work Desired and availability: