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Career-Employment

EMPLOYMENT REQUEST FORM
(CONFIDENTIAL)

Personal information
Last name :  First name : 
Date :  Address : 
Tel. :  S.I.N. : 
Requested position :   Citizenship : 
If you are not a Canadian citizenship, what is your status? (Do you have a working license? )
Yes  No

Written and spoken languages
French :  Fluently Well Average
 
English :  Fluently Well Average
 
Other specify :  Fluently Well Average

Studies

( Please indicate your level of scholarship completed )
Name of school Number of years Completed Year
Secondary school
Professional school
College (technical specialty)
College (pre-university)
University
Other post-university/prof.

Previous works and references

(In chronological order starting with your last employment)
Information requested : Name of the company, Address, Name of supervisor, Type of business, Dates of employment, Position (s), Salary, Reason of departure
Personal references. Please give 2 persons name and address that are not family related or previous employers.
Name :  Address : 
Name :  Address : 
Make a resume of your professional skills and specific experience that you have gained during your previous employments and all other pertinent information.

I certified that the information enclosed are given in good faith and is true to my knowledge.

In the case that my request would be accepted, I recognize that false or untrusted information that would be included in this request could become a valid reason for dismissal. I also recognize that I am asked to respect all rules and regulations of the company.

 

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