The Pickle Station - Cucumber Sorting Application by 2510O6T

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									The Pickle Station - Cucumber Sorting Application
23955 Prince Albert Road, Chatham, ON, N7M 5J1

For July-August 2012 Season

APPLICANT INFORMATION
Last Name                                                              First                                         Date

Street Address                                                                                                       Apartment/P.O. #

                                                                                                                     Postal
City                                                                   Province
                                                                                                                     Code
                                                                       E-mail
Phone
                                                                       Address
                                            Are you able to work all
Date Available                                                         YES          NO         If no, explain
                                            days of the week?
How many hours would you like to work each week?                                  How many days would you like to work each week?

Will you be at least 14 years old in July           YES         NO                        Are you prone to motion sickness?        YES   NO

                                                                                          If so,
Have you ever worked for this company?              YES         NO
                                                                                          when?
                                                                                          If yes,
Have you worked on a conveyor line?                 YES         NO
                                                                                          explain


EDUCATION
Elementary

                                                                                          NO
From (Years)                 To             Did you graduate?          YES

High School

                                                                                          NO
From                         To             Did you graduate?          YES

College/University

                                                                                          NO
From                         To             Did you graduate?          YES                              Degree



REFERENCES
Please list one reference.

Full Name                                                                                      Relationship

Company                                                                                        Phone       (     )



PREVIOUS EMPLOYMENT

Company                                                                        Phone      (         )

Job Title

Responsibilities

                                               Reason for
From                  To
                                               Leaving

Please email completed application to kelly.deline@tvf.ca or fax to (519) 352-4280

Thank you for your application.

								
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