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Job Application Form
Position Applying for:
Personal Data
E-mail :
First Name : Last Name :
Address : Apartment / Unit # :
City: Province :
Country : Postal Code:
Home Phone # : Mobile Phone # :
Date of Application :
Desired Pay Range : From To
Are you currently employed?  Yes     No
Are you 18 years of age (or over)?  Yes     No
Have you been employed by Canada Computers before?  Yes     No
If yes, date :From
To
Are you legally entitled to work in Canada?  Yes     No
Available start date:
General
(Please check all that apply) Use CTRL-CLICK to select more than one location. Days Available: Hours of Availability:
Preferred Locations:
Specialized Skills and Experience
(Please check all that apply) Use CTRL-CLICK to select more than one location.
Skills Microsoft
Accounting Adobe
Other
Educational Background
High School
Name : Program/Courses :
Length of Time From : To :
Diploma / Degree Awarded :
College
Name : Program/Courses :
Length of Time From : To :
Diploma / Degree Awarded :
University
Name : Program/Courses :
Length of Time From : To :
Diploma / Degree Awarded :
Additional Training or Courses :
Language
Language Skills :
SpokenWritten 
English  
French  
Others  
Others  
Others  
Employment History (Most recent first)
Job History 1
Present/Last Employer : Employer Address :
Business Industry :  Your Job Title :
Period Employed From :  To :

Reason for Leaving :
Describe Job Duties & Responsibilities :
Name & Title of Immediate Supervisor :
Telephone Number of Immediate Supervisor:
 
Job History 2
Present/Last Employer : Employer Address :
Business Industry :  Your Job Title :
Period Employed From :  To :

Reason for Leaving :
Describe Job Duties & Responsibilities :
Name & Title of Immediate Supervisor :
Telephone Number of Immediate Supervisor:
 
Job History 3
Present/Last Employer : Employer Address :
Business Industry :  Your Job Title :
Period Employed From :  To :

Reason for Leaving :
Describe Job Duties & Responsibilities :
Name & Title of Immediate Supervisor :
Telephone Number of Immediate Supervisor:
Position
Type of position applying for : Job Posting N.O. :
References (Please provide two) :
Name : Contact : Name : Contact :
General

Have you ever been convicted of any criminal offence for which a pardon had not been granted?

 Yes  No    If yes, please explain :
Cover Letter and Resume
Resume File Attachment :
Cover letter File Attachment :
Applicant Agreement

I certify by electronically submitting this form that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application package as may be necessary in arriving at an employment decision. I understand that proof of eligibility to work in Canada may be required before engagement. I understand that false or misleading information given in my application or interview(s) may disqualify me from employment or be cause for my dismissal. If hired, I agree to abide by all rules and regulations of Canada Computers, including serving an initial probationary period.



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