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Empolyment Application
Please Complete this form
Name
*
First
Middle
Last
Email Address
*
Home Phone
Mobile Phone
*
Street Address
*
Apartment/unit#
City
*
Province
*
Postal Code
*
Position Applying for
*
How did you hear about Velocity Mechanical Inc
*
— Select —
Employee Referral
Advertisement
Website
Agency
Other
Employee referral, Who?
*
If other, Please indicate
*
Education
Do you have a high school Diploma?
*
Yes
No
School Attended
Post-secondry Education
School Attended
Starting Date
*
End Date
*
Did you graduate?
*
Yes
No
Program Name
Professional Designations
School attended
Indicate if you have enrolled and/or completed the requirements of a Trade Program
Completion Date
Indicate other industry related Courses taken to date
Please rate your language skills
(Not at all - Well - Fluent)
English
*
French
*
Other (please indicate)
Hobbies
Interests
Volunteer/Charity Participation
Questionaire
What type of Employment are you looking for
*
Full time
Summer
Part time
Contract
Date available to start working
*
Are you legally entitled to work in Canada
*
Yes
No
Are you between the ages of 18 and 65?
*
Yes
No
Have you ever been convicted of a criminal offence
*
Yes
No
Have you been employed with Velocity Mechanical
*
Yes
No
If so, When?
Are you prepared to work:
Shifts
*
Yes
No
Overtime
*
Yes
No
Out of town
*
Yes
No
Experience
Do you have experience in:
*
Administrative
Plumber
Sheetmetal worker
Gas fitter
Refrigeration
Electrical
Insulation
General labour
Are you a licensed tradesman?
Yes
No
What trade?
Are you registered to work as a tradesperson in the province of Ontario?
Yes
No
What trade?
Are you?
*
Apprentice
Journeyperson
Master Journeyperson
N/A
Additional Relevant skills:
Technology / Software skills:
*
Tablets
Microsoft programs
Adobe
Other
Please specify your technology skills:
Have you had any formal Health and Safety training in the following:
First Aid
*
Yes
No
WHMIS
*
Yes
No
Working at Heights
*
Yes
No
IHSA Health and Safety Representative
*
Yes
No
IHSA Health and Safety certified member
*
Yes
No
Other (please specify):
References
Please list three references
2 of which should be from a previous employer
Full name
*
Company
*
Address / City
*
Title
*
Phone
*
Province
*
Full name
*
Company
*
Address / City
*
Title
*
Phone
*
Province
*
Full name
Company
Address / City
Title
Phone
Province
Current
Current Employer
*
Address
*
Phone
*
Supervisor
*
Current position
*
Current Earning / Hourly$
*
Salary $
*
Duties / Responsibilities
*
Period Employed
*
From
*
Why are you actively looking to leave your current employer?
*
Previous Employment History
Previous Employer
*
Address
*
Phone
*
Supervisor
*
Position
*
Previous Earning / Hourly $
*
Salary $
*
Duties / Responsibilities
*
Starting Date
*
End Date
*
Reason for Leaving
*
May we contact your previous supervisor for a reference?
*
Yes
No
Previous Employer
*
Address
*
Phone
*
Supervisor
*
Position
*
Previous Earning / Hourly $
*
Salary $
*
Duties / Responsibilities
Starting Date
End Date
Reason for Leaving
*
May we contact your previous supervisor for a reference?
Yes
No
Previous Employer
*
Address
*
Phone
*
Supervisor
*
Position
*
Previous Earning / Hourly $
*
Salary $
*
Duties / Responsibilities
Starting Date
End Date
Reason for Leaving
*
May we contact your previous supervisor for a reference?
Yes
No
Disclaimer
By Submitting the application, I hereby certify that the above information is true and complete to the best of my knowledge and I understand that any untrue statements on this application will be sufficient grounds for dismissal. I authorize Velocity Mechanical Inc to investigate the accuracy of the information provided on this application, and authorize Velocity Mechanical to contact my former employers to obtain a reference
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