Sample Job Application Form Please print legibly.
Personal Information
First name Home Address Home Phone Fax E-mail Middle name Last name
Position applying for: Full Time: Salary expectations: When would you be available for work? Are you eligible to work in Canada? Part Time: Temporary:
Education
Type of School
Secondary School From
Attended
to
Course or Major
Degree/Diploma
Community College
From
to
University
From
to
Other, please specify
From
to
Work-Related Skills
List all related skills: licenses, certificates, equipment operated, etc.
Work Experience
List all of your work experience. Start with the most recent position. Present/Past employer: Address: Postal Code: Supervisor’s name: Job title: Period of employment: Responsibilities: from to Telephone No. :
Reasons for leaving:
Previous employer: Address: Postal Code: Supervisor’s name: Job title: Period of employment: Responsibilities: from to Telephone No. :
Reasons for leaving:
References
Please provide three business references: Name: Name: Name: Company: Company: Company: Telephone No.: Telephone No.: Telephone No.:
May we contact your present/past employer? If No, Please Explain
I hereby declare that the above information is true and complete to my knowledge. I understand that a false statement may disqualify me from employment.
Signature
Date