Greyback Construction - Application for Employment

Application for Employment

Name:
Address:
City:		Postal Code:
Home Phone:		Other Contact No.:
Email Address:		Type of work applying for:

Skills (check box if you have work experience in the following)
Framing	Unskilled Construction Worker	First-Aid
Finishing	Personal Computer	Level 1 Level 2 Level 3
Concrete	Microsoft Word	Expiry Date:
Forklift	Microsoft Excel	Other:
Crane(s)	Microsoft Access
Type(s)	Microsoft Project	Skilled Labourer
	AutoCad	Other

Employment History We will only contact you previous/current employer if "OK to contact" is checked
Start With Most Recent or Existing
Name and Address of Employer	Your Position and Duties	Starting Date	Starting Wage	Reason for Leaving

		Last Day Worked	Ending Wage
				OK to Contact
Phone		If Still Employed list present wage
Type of Business		Name & Title of immediate Supervisor

Name and Address of Employer	Your Position and Duties	Starting Date	Starting Wage	Reason for Leaving

		Last Day Worked	Ending Wage
				OK to Contact
Phone		If Still Employed list present wage
Type of Business		Name & Title of immediate Supervisor

Name and Address of Employer	Your Position and Duties	Starting Date	Starting Wage	Reason for Leaving

		Last Day Worked	Ending Wage
				OK to Contact
Phone		If Still Employed list present wage
Type of Business		Name & Title of immediate Supervisor

Qualifications
State any experience gained in previous work pertinent to position applied for:
List any special qualifications. Including types of equipment you can operate:
List any special certificates, licenses, etc:
Do you have a valid B.C. Driver's License?	Class:	License No.:
Years of Construction Experience		Wage Expected:

Education History
Type of school	Name of School or Institution and Address	Courses Majored in	Last Year or grade completed	Graduate? Give Degree	Year of Completion
High School
Other

Personal References - Give three character references (not relatives or employers)
Name	Occupation	Address	Telephone

I understand and agree that any misrepresentation by me in this application will be sufficient cause to cancel this application and/or terminate my employment with Greyback Construction Ltd., if I have been hired. I also understand and agree that I may be required to take a medical examination, at Greyback's expense, and hereby authorize the examining physician to release any information concerning my ability to perform any function of my employment.

I understand and agree that my present and previous employer(s) will be contacted, and that by me submitting this form signifies authorization for release of any information concerning my performance while in their employ. The new Privacy Act stipulates that a previous employer may not release personal information to prospective employers (or anyone) without the employee's consent. I understand that it may be necessary to fax this form to current/previous employer(s) for verification.




402 Warren Avenue East, Penticton, BC Canada V2A 3M2 Phone: (250) 493-7972 Fax: (250) 493-7255 Contact Us