Part-Time Building Operator

HR*** REVISION DATE – JANUARY *, **** PAGE * OF *

APPLICATION FOR EMPLOYMENT FORM

WE CONSIDER APPLICANTS WITHOUT REGARD TO RACE, COLOUR, CREED, ANCESTRY, ORIGIN, SEX, SEXUAL ORIENTATION, MARITAL STATUS, FAMILY STATUS, RECORD OF OFFENCES, HANDICAP, OR OTHER PROTECTED STATUS. PERSONAL DATA

LAST NAME:

FIRST NAME: MIDDLE NAME:

PRESENT ADDRESS:

CITY:

PROVINCE: POSTAL CODE:

HOME TELEPHONE:

AREA CODE EMAIL ADDRESS: BUSINESS TELEPHONE:

AREA CODE APPLICANTS MUST COMPLETE THE FOLLOWING SECTIONS IN ORDER TO BE CONSIDERED FOR EMPLOYMENT ARE YOU LEGALLY ENTITLED TO WORK IN CANADA? YES: NO: HAVE YOU WORKED FOR GDI BEFORE? YES: NO:

IF YOU HAVE WORKED FOR GDI BEFORE, PLEASE PROVIDE DATES AND LOCATION.

FROM: TO:

DO YOU HAVE RELATIVES EMPLOYED WITH GDI OR IT’S AFFILIATES?

(IF YES: PROVIDE NAMES OF RELATIVES & LOCATION)

YES:

NAMES:

NO:

DO YOU HAVE RELIABLE MEANS OF TRANSPORTATION TO GET TO WORK? YES: NO: HAVE YOU EVER BEEN CONVICTED OF A CRIMINAL OFFENCE FOR WHICH A PARDON HAS NOT BEEN GRANTED?

YES: NO:

ARE YOU 16 YEARS OF AGE OR OLDER? YES: NO:

WHEN WOULD YOU BE AVAILABLE TO START: START DATE:

JOB PREFERENCES

DO YOU WANT TO WORK? FULL-TIME PART-TIME: TEMPORARY: WHAT TYPE OF WORK ARE YOU INTERESTED IN DOING?

PLEASE PROVIDE DETAILS.

EDUCATION

ELEMENTARY SCHOOL SECONDARY

SCHOOL

College or University Graduate or Professional

YEAR LAST

ATTENDED

4 5 6 7 8 9 10 11 12 13 1 2 3 4 5 1 2 3 4 5

CERTIFICATES, DIPLOMAS, DEGREES

OBTAINED

EDUCATION LEVELS ACHIEVED AND DEGREES OBTAINED ARE SUBJECT TO VERIFICATION IF AN OFFER OF EMPLOYMENT IS EXTENDED. WORK HISTORY (LIST IN ORDER STARTING WITH YOUR PRESENT OR LAST JOB) PREVIOUS EMPLOYER

ADDRESS: NAME OF IMMEDIATE SUPERVISOR:

YOUR JOB TITLE: PERIOD

EMPLOYED:

FROM:

(MO/YR)

TO:

(MO/YR)

FINAL SALARY:

TYPE OF BUSINESS:

REASON FOR LEAVING:

DESCRIBE JOB DUTIES AND RESPONSIBILITIES:

PREVIOUS EMPLOYER

ADDRESS: NAME OF IMMEDIATE SUPERVISOR:

YOUR JOB TITLE: PERIOD

EMPLOYED:

FROM:

(MO/YR)

TO:

(MO/YR)

FINAL SALARY:

TYPE OF BUSINESS:

REASON FOR LEAVING:

DESCRIBE JOB DUTIES AND RESPONSIBILITIES:

HR001 REVISION DATE – JANUARY 6, 2015 PAGE 2 OF 2

GDI SERVICES (CANADA) LP EMPLOYEES WORK AT VARIOUS LOCATIONS ON VARIOUS SCHEDULES FOR VARIOUS PAY RATES. PAY RATES DEPEND ON DUTIES, WORK LOCATION AND OTHER FACTORS. IF HIRED, ARE YOU WILLING TO WORK AT VARIOUS LOCATIONS & SCHEDULES. FOR DIFFERENT RATES OF PAY?

YES: NO:

ARE THERE ANY RESTRICTIONS ON WORK, LOCATION OR SCHEDULES? YES: NO: IF SO, DESCRIBE:

HAVE YOU BEEN TRAINED IN WHMIS? (INDICATE YEAR) YES: NO: HAVE YOU BEEN TRAINED IN FIRST AID? (INDICATE YEAR) YES: NO: HAVE YOU BEEN TRAINED IN OCCUPATIONAL HEALTH AND SAFETY?(INDICATE YEAR) YES: NO: PLEASE READ CAREFULLY THE FOREGOING STATEMENTS ARE CORRECT TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT ANY MISREPRESENTATION MAY DISQUALIFY ME FROM EMPLOYMENT OR BE CAUSE FOR MY DISMISSAL. IF HIRED, I AGREE TO ABIDE BY ALL RULES AND REGULATIONS OF THE COMPANY, INCLUDING SERVING AN INITIAL PROBATIONARY PERIOD. APPLICANT SIGNATURE: DATE:

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