| Name (Last / First / Middle): |
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| ADDRESS (street / apt / city / province / postal code): |
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| ALTERNATE ADDRESS: |
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PHONE NUMBER: |
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EMAIL ADDRESS: |
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| ARE YOU 18 YEARS OF AGE OR OLDER? |
YES
NO
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| ARE YOU ELIGIBLE TO WORK IN CANADA? |
YES
NO
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| HOW DID YOU LEARN ABOUT OUR COMPANY? |
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| POSITION SOUGHT AND AVAILABLE START DATE: |
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| EDUCATION (high school / college or university / specialized training, licenses / other education): |
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I certify that all statements made on this application form and those given during any personal interview
prior to my hiring are true and correct; and that if hired, any false statements may be cause for immediate dismissal.
By checking the following box, you are consenting to the above
I
have read and accept the terms
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