Application for Employment

APPLICATION FOR EMPLOYMENT

1951 Eglinton Ave W Suite 201
Toronto, ON M6E 2J7
Phone: (416) 787-1448
Fax: (416) 256-2062

Personal Information

Last Name
First & Middle Names
Street Address
City/Municipality
Province
Postal Code
Residential Phone #
Cell Phone #
Email

Work Information

Hiring Location
Hourly Rate Expected^*
Have you ever worked for this company?

Do you own or have the use of a vehicle?

How did you know about working with us?^*
Information about this referral

License and Training

Security License No.
Expiry Date
SmartServer Certificate #^*
What special training do you have which would be an asset to our company?^*

FA - First Aid
CPR - Cardiopulmonary Resuscitation
Enter any other skill/training^*

Emergency Contact^*

Name
Phone No.
Address
Relationship

Legal Agreements

I acknowledge that the foregoing statements and information fully and truthfully set forth true and accurate personal information as of the date hereof. I further acknowledge that for the purposes of determining my suitability for the position applied for, an investigation may be made with respect to relevant information. I hereby consent to XXXXXXXX Ltd., or its affiliates or agents collecting and retaining such information and conducting further investigations with respect to relevant information. I further consent to the updating of this information from time to time, as necessary.

By checking the following box, I confirm that I am the person
identified in the Application and that I agree to all of the above.
Electronic Signature

Date