Employment Application

Personal Data

Last Name *

First Name *

Middle Initial

Present Address *

City *

Province *

Postal Code *

Enter your postal code e.g. A1A 1A1

Telephone *

Enter your phone number e.g. (123) 456-7890

Other Phone or Email Address

Are you legally entitled to work in Canada? *

Yes
No

If hired, when would you be able to start working? *

Are you bondable? (Answer only if relevant to position applied for)

Yes
No

Have you been convicted of a criminal offence for which a pardon has not been granted? *

Yes
No

Are you currently employed? *

Yes
No

Have you worked here before? *

Yes
No

If yes, when?

Do you have a reliable means of transportation to get to work? *

Yes
No

What type of work are you interested in doing? *

Education

School *

Highest Grade Achieved *

College or University

Degree, Diploma or Certificate earned

Course of study

Graduate or Professional

Degree, Diploma or Certificate earned

Course of study

List any specialized training, trades skills, apprentice skills, awards, professional designations and other education.

Work History

Present or Previous Employer *

Address

Type of Business *

Phone Number

Your Job Title *

Final Salary *

Dates of Employment - Start Date *

Dates of Employment - End Date *

Name and Title of Immediate Supervisor *

Reason for Leaving *

Describe Job Duties and Responsibilities *

May we contact your present or previous employer for a reference? *

Yes
No

Plant location(s) you are applying for: *

Debert, NS
North Bay, ON
Edmonton, AB

How did you hear about our company?

If referred by an employee, please provide employee's name.

Attach Resume

Attach Cover Letter

Comments

I hereby authorize Kohltech International Limited to verify the information listed on this Application for Employment. 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 Kohltech International Limited, including serving an initial probationary period.

Phone

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Personal Data

Education

Work History