EMPLOYMENT APPLICATION ONLINE Personal information Name : First name : Date of birth: Address : City : Postal code : Phone number : Spoken language : French English Spanish Other Written language : French English Spanish Other Have you ever been employed by us ? If so, when ? Title of position : Are you willing to travel ? yes no Employement requested Title of position you wish to apply for : Salary : Schedule : Day            Evening               Night   Part-time Full time Summer Date available for work : Education (Indicate Highest Grade completed) High school grade:   I    II    III     IV    V Subject (DEP) : Name of school : City : Certificate completed ? yes no   If so, when College : I   II   III Subject : Name of college : City : Other training (Please specify) : Specific skills, knowledge or qualification : Experience (Please list the last three employments starting with the most recent one) 1- Employer : Supervisor name : Address : Phone number : Time of employment : Summary of experience : Reason for leaving :     2- Employer : Supervisor name : Address : Phone number : Time of employment : Summary of experience : Reason for leaving :   3- Employer : Supervisor name : Address : Phone number : Time of employment : Summary of experience : Reason for leaving :