Personal

*Your Name
S.I.N.
*Your Email
*Phone
Cell Phone
Pager
*Address
*City
*Province
*Postal Code
*Position(s) Applied For
*Date Available for Work
*Are you legally eligible for work in Canada?
Yes No 
*Are you prepared to travel or be transferred if required to fulfill the duties of the position?
Yes No 
If no, please explain
*Emergency Contact Name
*Emergency Contact Phone

Employment History

Employment record for the past 5 years. Start with the most recent.

Previous Employer #1

Company Name
Phone
Address
City
Province
Job Title & Duties
Length of Service From To
Reason For Leaving

Previous Employer #2

Company Name
Phone
Address
City
Province
Job Title & Duties
Length of Service From To
Reason For Leaving

Previous Employer #3

Company Name
Phone
Address
City
Province
Job Title & Duties
Length of Service From To
Reason For Leaving
Length of time worked at the type of job you are applying for?
Do you have any objection to the company cheking with your former employer(s) about your employment record and work habits?
Yes No  If yes, please explain:
During the past five years, have you had any problem or injury which would affect your ability to perform the job for which you are applying for?
Yes No  If yes, please explain:

Education

Start with the most recent. Include high school, college, vocational, university or any other type of training programs.

School
Dates Attended
Type of Course
Diploma, Certificate, Etc.
School
Dates Attended
Type of Course
Diploma, Certificate, Etc.
School
Dates Attended
Type of Course
Diploma, Certificate, Etc.
School
Dates Attended
Type of Course
Diploma, Certificate, Etc.
School
Dates Attended
Type of Course
Diploma, Certificate, Etc.

Personal References

Reference #1

Name
Occupation
Phone
Address

Reference #2

Name
Occupation
Phone
Address

Reference #3

Name
Occupation
Phone
Address

To the extent that it would affect your ability to perform the job applied for, please indicate any area where you experience restricted use. If you have selected 'yes' for any of the following areas, please explain the extent of your restriction.

Eyes:
Yes No 
Details:
Arms:
Yes No 
Details:
Hands:
Yes No 
Details:
Legs:
Yes No 
Details:
Feet:
Yes No  Details:
Arms:
Yes No 
Details:
Do you have any physical handicaps that would affect your ability to do the job applied for?
Yes No 
Details:

Driving History

List each motor vehicle accident you have been involved in in the last 5 years and it's type ( rear end, sideswipe, etc.) Show how each was classed as preventable or non-preventable.

Accident #1

Date
Location
Type of Accident
Preventable Non-Preventable 

Accident #2

Date
Location
Type of Accident
Preventable Non-Preventable 

Accident #3

Date
Location
Type of Accident
Preventable Non-Preventable 
Driver's License#
Class
Province
Expiry Date
Have you received any Safe Driver Awards or other driving commendations? If yes, describe

* Copy of Driver's Abstract to the last 30 days must be supplied.

Use the field below to upload your Driver's Abstract. The following files are accepted: pdf, doc, jpeg, png, gif

File Uploads are not supported on certain Mobile Phones.

If you are applying from a mobile device and are unable to use the file upload field, please email your driver's abstract to: ridgeline@telus.net

Please format the subject line as 'Your Name - Driver's Abstract'

The following questions are to be completed by all applicants:

*What are your employment goals? are there any talents or skills you would like to develop for future career opportunities?

I hereby declare that the foregoing information is true and complete to the best of my knowledge. I understand that a false statement may disqualify me from employment or cause my dismissal. If this application is for a driving position, I understand that I may be required to take a company administered road test from time to time at the company's request. Failure to satisfactorily complete this road test may disqualify me from employment or cause my dismissal. If this application is for a driving position, I hereby give my consent to the company to obtain a copy of my driving record from the appropriate government authority prior to interviewing / hiring. If I am hired the company may obtain copies of my driving record as and when they require without further consent.

* Yes No 

I hereby acknowledge that any job offer may be conditional upon the passing of a medical examination and / or drug and alcohol testing requested by the company and as administered by a company appointed doctor. I understand that failure to meet the company's standards pertaining to medical fitness required for the job is sufficient to disqualify me from employment and cause my dismissal.
* Yes No 

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