Please fill out form completely and submit for employment consideration. Alternatively, you may print this PDF application and fax or mail when completed.
Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin or handicap. We are an equal opportunity employer.
Newfoundland & Labrador
Prince Edward Island
What was your previous address?
How long at present address?
Are you over 18 years of age?
Have you ever applied for employment with us?
How did you learn of our organization?
Are you legally eligible for employment in the United States?
When will you be able to work?
Are you employed now?
If so, may we inquire of your present employer?
Have you been convicted of a crime in the past ten years, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by a court?
If Yes, describe in full
Are there any reasons for which you might not be able to perform the job duties (with a reasonable accommodation)?
If Yes, please explain.
Drivers Licence #
Name & Location of School
Course of Study
No. of years completed
Did you graduate?
Degree or Diploma
Have you served in the U.S. Armed Forces
Complete this section if you served in the U.S. Armed Forces
Branch of Service
Describe your duties and any special training
Period of Active Duty (Month & Year)
Rank at Discharge
Date of Final Discharge
Please give accurate, complete full-time and part-time employment record. Start with present or most recent employer.
Employed From: (Start Month and Year)
Employed To: (End Month and Year)
Name of Supervisor
Hourly Rate (Start)
Hourly Rate (Last)
Start Job Title and Describe Your Work
Reason for Leaving
We may contact the employers listed above unless you indicate those you do not want us to contact
Do Not Contact (Company Names)
Give below the names of three persons not related to you, whom you have known at least one year.
The information provided in this Application for Employment is true, correct and complete. If employed, any misstatements or omissions of fact on this application may result in my dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.
If you decide to engage an investigative consumer reporting agency to report on my credit and personal history, I authorize you to do so.
If a report is obtained you must provide, at my request, the name and address of the agency so I may obtain from them the nature and substance of the information contained in the report.
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Thank you for your submission!