Employment Application Form

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

 

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