PERSONAL  First Name    Last Name   Street Address   City  Select Your City EdmontonCalgaryVancouverToronto and GTA  SIN   Phone Number   Are you legally entitled to work in Canada?  Yes TYPE OF WORK DESIRED Desired Position: Select position DriverNavigatorCustomer Service RepresentativeDistrict Manager AVAILABILITY Full Time Part-Time Seasonal Availability Sunday Monday Tuesday Wednesday Thursday Friday Saturday AM PM Date available to Start Work: If you are a student, when will you be returning to school?   What is your transportation to work?   EDUCATION Level Diploma/Degree Major Marks Awards/Activities High School University Other Please describe other courses, workshops, certificates, licenses: DRIVING INFORMATION Which license do you currently hold? LicenseAlberta Class 1Alberta Class 2Alberta Class 3Alberta Class 4Alberta Class 5BC Class 1BC Class 2BC Class 3BC Class 4BC Class 5Ont. Class AOnt. Class BOnt. Class COnt. Class DOnt. Class EOnt. Class FOnt. Class GOnt. Class G1Ont. Class G2Ont. Class MOnt. Class M1Ont. Class M2 Expiry Date: How many years driving experience do you have? Can you drive with a standard transmission? Yes  Have you ever driven a one ton truck before? Yes  Do you have a clean driving record? Yes  Have you ever been in an accident where you were at fault? Yes  If Yes, explain: Have you had any tickets or traffic violations in the last three years? Yes  If Yes, how many? EMPLOYMENT HISTORY List employment history beginning with most recent first Employer 1 Dates:       Name:       Address:    Supervisor: Phone:        Salary:       Reason for Leaving: Job Description: Employer 2 Dates:       Name:       Address:    Supervisor: Phone:        Salary:       Reason for Leaving: Job Description: Employer 3 Dates:       Name:       Address:    Supervisor: Phone:        Salary:       Reason for Leaving: Job Description: REFERENCES For employment references, may we approach: Your present/last employer? Yes Your former employers? Yes List two business references we may contact: 1. Name: Address: Phone: 2.Name: Address: Phone: GENERAL Have you ever been convicted of a criminal offense for which no pardon has been granted? If Yes, please explain: Are you bondable?   Yes Note:A criminal offense and a bond refusal will not necessarily bar you from employment. All circumstances are considered. If employed by Rubbish Express, what do you think your most valuable contribution to the company would be?

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