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Legal Age to Work in Canada

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					                                                         EMPLOYMENT APPLICATION FORM

PERSONAL


Date:

Name:

Home Phone (        )                                       Business Phone (            )

Are you of legal age to work in Canada?                     Yes         No

Are you legally permitted to work in Canada?                Yes         No



Street Address:

City:                                    Province:                                 Postal Code:



Position Applied For:

Branch Location(s) Applied For:
    Edmonton, Alberta                        Fort McMurray, Alberta                     Regina, Saskatchewan
    Calgary, Alberta                         Grande Prairie, Alberta                    Winnipeg, Manitoba
    Red Deer, Alberta                        Fort St. John, British Columbia            Thunder Bay, Ontario
    Medicine Hat, Alberta                    Saskatoon, Saskatchewan
Years of Experience in this Field:                          Salary Range Expected:

Are you presently employed? Yes           No                If so, where?

If accepted, when would you be able to start?



Are you engaged in any other business or pursuit?           Yes         No

If so, please describe below:




Have you a reliable means of transportation to get to work?       Yes        No

Have you a valid Drivers' License No.?                            Yes        No       Class:


                                                                        Waterous Power Systems – Employment Application Form
                                                                                                           WPS EAF 02-2006
                                                                                                                      Page 1
EDUCATION


Public or High School Grade Completed:                   Date:

School Attended:                                         Location:

University Attended:                                     From:                           To:

Major Field of Study:                                    Obtained:



    Technical Courses
                                   Where Taken                Dates (Start/Finish)                Certificate
       Completed




REFERENCES

Please supply 3 persons (excluding relatives) who can supply information pertinent to your job performance.

        Name & Occupation                           Address                               Phone Number




                                                                   Waterous Power Systems – Employment Application Form
                                                                                                      WPS EAF 02-2006
                                                                                                                 Page 2
TRADE SKILLS

NOTE: TO BE FILLED OUT BY TRADESPEOPLE ONLY


      Type of Trade Certificate                  Certificate Number                          Date Received




                                                   Overhaul                Minor Repair                Operating
             Product Experience
                                              Years      Months         Years       Months         Years       Months

Detroit Diesel Engines

Mercedes-Benz Engines

Allison Transmissions

Power Generation

Heavy Trucks/Equipment

Automotive
Other Heavy-Duty Engine
(e.g. CAT, Cummins, etc.)




APPRENTICES


Trade:                                                     Final completion date:

What period are you in?                                    Period completion date:

What training period have you completed?                   Date completed:


Marks:   1st Period                 2nd Period                 3rd Period                     4th Period


Do you have any experience or qualifications that would particularly qualify you for position applied for? Explain:




                                                                      Waterous Power Systems – Employment Application Form
                                                                                                         WPS EAF 02-2006
                                                                                                                    Page 3
RESUME OF PREVIOUS EMPLOYMENT

Start with most recent employer:
Company:                           Location:

Type of business:

Length of service:                 From:                            To:

Position held:                     Monthly:                         Hourly:

Name of supervisor:                Title:

Reason for leaving:


Company:                           Location:

Type of business:

Length of service:                 From:                            To:

Position held:                     Monthly:                         Hourly:

Name of supervisor:                Title:

Reason for leaving:


Company:                           Location:

Type of business:

Length of service:                 From:                            To:

Position held:                     Monthly:                         Hourly:

Name of supervisor:                Title:

Reason for leaving:


Company:                           Location:

Type of business:

Length of service:                 From:                            To:

Position held:                     Monthly:                         Hourly:

Name of supervisor:                Title:

Reason for leaving:




                                              Waterous Power Systems – Employment Application Form
                                                                                 WPS EAF 02-2006
                                                                                            Page 4
COMPANY BENEFITS

Company benefits available to new employees after three months include:
• Provincial Medical Insurance                             • Short & Long Term Disability
• Extended Health                                          • Basic Life & AD&D Insurance
• Dental

Details of the above can be obtained from the person taking your application.


CONDITIONS OF EMPLOYMENT

A.      Abide by all Company rules and regulations and hold in strict confidence all matters relating to Company business.

B.      Work shift work if requested to do so by the Company.

C.      Hourly paid employees working in a Service Shop where a Union Agreement is in existence are required to join the
        Union and authorize deductions from their earnings to pay the Union dues. Such employees will be subject to the
        conditions set forth in the Union Agreement.

D.      All new employees are required to serve a probationary period.

E.      All full-time employees may join the Company Pension Plan immediately and after five years of continuous service,
        participation in the Company Pension Plan is mandatory.

        I hereby certify that all information I have provided in this application is true and complete and I understand
        that if employed, false statements on this application shall be considered sufficient cause for dismissal.

        When you first become, or apply to become, an employee of Waterous Power Systems, we will collect the
        information on this form and use it:
                   • To confirm information you have provided
                   • To establish eligibility for employment
                   • For employment checks
                   • For any other reasonable purpose to verify suitability for employment at Waterous Power
                       Systems

        If I am not selected for the position being applied for, I authorize Waterous Power Systems to keep my resume
        in a locked file for up to a year for the purpose of my possibly filling a future position.


Signature of Applicant:

Date:




                                                                         Waterous Power Systems – Employment Application Form
                                                                                                            WPS EAF 02-2006
                                                                                                                       Page 5
FOR OFFICE USE ONLY


Applicant interviewed by:

Reference checked by:

Comments:




Recommended for employment?                                           Yes         No        By:

**If Accepted This Form Must Accompany The Notice of Hiring To the Payroll Administrator.




                                                                                 Waterous Power Systems – Employment Application Form
                                                                                                                    WPS EAF 02-2006
                                                                                                                               Page 6

				
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