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Resources / Careers @ AMRE

PERSONAL
Date:   September 09, 2010
Full Name:  
Email Address:  
Full Address:  
Phone Number:  

1.  Job Applying For:

  
Rate of Pay Expected: $

per

2.  Job Applying For:
(optional)

  
Rate of Pay Expected: $

per

How did you learn of this opening?

  

Do you want to work:

  
Full-time Part-time

IF, part-time, specify days and hours:

  

Have you worked for us before?

  
No Yes

IF, yes, when:

  

What date are you available to start work?

  

Are there any other experiences, skills or qualifications which you feel would especially fit you for work with us?  Please exclude activities which would indicate any prohibited grounds of discrimination listed above.

  

If hired, do you have reliable means of transportation to get to work?

  
Yes No

EDUCATION BACKGROUND
Type of Schooling:  
Level of Schooling:  
Describe Course(s) of Study:
(Do not give name(s) of school)		  
Describe any specialized training, apprenticeship, skills, and extra-curricular activities:  

Describe any honors you have received:

  

PRIOR WORK HISTORY
(LIST IN ORDER, LAST OR PRESENT EMPLOYER FIRST)

1.  Dates:

  
From To

Name / Address of Employer:

  

Rate of Pay:

  
Start Finish

Supervisors' Name and Title:

  

Reason for Leaving:

  

2.  Dates:

  
From To

Name / Address of Employer:

  

Rate of Pay:

  
Start Finish

Supervisors' Name and Title:

  

Reason for Leaving:

  

3.  Dates:

  
From To

Name / Address of Employer:

  

Rate of Pay:

  
Start Finish

Supervisors' Name and Title:

  

Reason for Leaving:

  

4.  Dates:

  
From To

Name / Address of Employer:

  

Rate of Pay:

  
Start Finish

Supervisors' Name and Title:

  

Reason for Leaving:

  

May we contact the employers listed above?

  
Yes No

PERSONAL REFERENCES
Give the names of at least 3 persons who can supply information pertinent to your job performance (excluding former employers or relatives).
Name and Occupation Address Phone Number


PLEASE READ CAREFULLY APPLICANTS CERTIFICATION AND AGREEMENT
I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge.  I understand that if employed, falsified statements on this application shall be considered sufficient cause for dismissal.

  I agree.
The Human Rights Codes prohibit discrimination in employment because of race, ancestry, place of origin, color, national, or ethnic origin, citizenship, religion, creed, sex or sexual orientation, age, marital, or family status, record of offenses (including an offence in respect of any provincial status), handicap, disability, language (Province of Quebec).