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Applicant
*Last Name: *First Name:
*Street Number: *Street Name:
Unit/apt: *City/town:
*Province: *Postal code:
*Home phone: Other phone:
*Email address:    
Languages spoken: French English
Languages written: French English
Other (please specify)
Other (please specify)
       
Work-Related Information
Type of job sought:    
*1st choice: 2nd choice:
When are you available?    
  Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Day
Evening
Have you worked for us in the past?    
Yes No If yes, when? From - to -
Position:  
Education
Course/program Period   School Graduated Degree/major:
From
To
-
-
Yes No
From
To
-
-
Yes No
From
To
-
-
Yes No
Do you plan to continue your studies? Yes No    
Work Experience
Job #1            
Employer Phone Job title Period   Pay Reason for leaving
From
To
-
-
             
Job #2            
Employer Phone Job title Period   Pay Reason for leaving
From
To
-
-
             
Job #3            
Employer Phone Job title Period   Pay Reason for leaving
From
To
-
-
             
I certify that the above information is true and complete to the best of my knowledge. I understand that any false statements made here are sufficient grounds for the rejection of my application or my immediate dismissal. Furthermore, if employed, I understand that I will have to undergo a probationary period.
I agree to these terms.  
Ottavio is an equal opportunity employer