Employment Application Form
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Fields marked with an asterisk are required.
General Information
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Date :
dd-mm-yyyy
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Family Name:
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First Name:
Address
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Street Address:
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City:
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Province:
Quebec
Ontario
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Postal Code:
Telephone
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Home:
e.g., (xxx) xxx-xxxx
Work:
e.g., (xxx) xxx-xxxx
Langues
Spoken
Written
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French
Good
Average
Poor
Good
Average
Poor
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English:
Good
Average
Poor
Good
Average
Poor
Others:
Good
Average
Poor
Good
Average
Poor
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Do you have permanent authorization to work in Canada?
Yes
No
If no, specify:
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Availability
Regular
Part-time
Summer
On Call
Days
Evenings
Weekdays
Weekends
Nights
Driving
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Do you have a valid driver’s licence?
Yes
No
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Are you proficient at driving an automobile with a manual transmission?
Yes
No
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Do you own an automobile?
Yes
No
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In which metropolitan region would you like to live in ?
Quebec City
Montreal
Ottawa
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