Application for employment

310 - 1755 West Broadway, Vancouver, British Columbia, Canada V6J 4S5
Tel: 604.730.6600 Fax: 604.730.4645

General Personal Information
  • Last Name:
  • First Name:
  • Middle Name:
  • Home Address (Street and number):
  • City:
  • Province:

  • Postal:
  • Phone Number:
Previous residence(s) in Canada: City: Province: Postal:

  • Are you eligible to work in Canada?  Yes No
  • Have you reached the "Age of Majority"?  Yes No
  • Are you bondable?  Yes No

Friends or relatives employed by Northland Properties and its subsidiaries:

  • Emergency contact:
  • Telephone:
  • Address (Street and number):
  • City:
  • Province:
  • Postal:
Position Desired
  • First choice:
  • Second choice:
  • Minimum salary:
  • Dates(s) available for work:
  • permanent full-time:
  • temporary part-time:
  • Referred by:
  • drop-in:
  • referral:
  • ad:
  • school:
  • agency:
  • other:
  • Willing to relocate? : Yes: No:
  • Preferred geographical locations:

  • 1.
  • 2.
  • 3.
Education

Name and location of school attended (specify institution type, ie high school, university, etc.)

  • Name:
  • City:
  • Province:

  • Date attended (From/To):
  • Graduated:
  • Type of Degree:

  • Grade Point Average:
  • Major field of study:


  • Name:
  • City:
  • Province:

  • Date attended (From/To):
  • Graduated:
  • Type of Degree:

  • Grade Point Average:
  • Major field of study:


  • Name:
  • City:
  • Province:

  • Date attended (From/To):
  • Graduated:
  • Type of Degree:

  • Grade Point Average:
  • Major field of study:
Miscellaneous

List special language skills, scholarships or other significant activities (exclude information indicative of race, sex, religion, colour or national origin).

Goals

Immediate:

Long-term:

References

Other than relatives, provide three references who have known you for the past five or more years.

  • Name:
  • Relationship:
  • Address (include city and province):

  • Telephone: Work
  • Home
  • Years acquainted:

  • Name:
  • Relationship:
  • Address (include city and province):

  • Telephone: Work
  • Home
  • Years acquainted:

  • Name:
  • Relationship:
  • Address (include city and province):

  • Telephone: Work
  • Home
  • Years acquainted:
Employment

Account for the past ten (10) years. Include periods of unemployment, self-employment, schooling or military service. List present (or most recent) position first. Please include any other name under which such records may appear.

  • This is my first job.
  • Company name:
  • Street:
  • City:
  • Province:

  • Telephone:
  • From (month/year):
  • To (month/year):

  • Salary: wk. mo. yr.
  • Starting: $ Final: $
  • Specify other compensation $ mo. yr.

  • Type of business:
  • Supervisor:

  • Title, duties and responsibilities:

  • What do/did you like most about the work?

  • What do/did you like least?

  • Reason(s) for leaving:

  • May we contact your current employer? Yes No

  • Company name:
  • Street:
  • City:
  • Province:

  • Telephone:
  • From (month/year):
  • To (month/year):

  • Salary: wk. mo. yr.
  • Starting: $ Final: $
  • Specify other compensation $ mo. yr.

  • Type of business:
  • Supervisor:

  • Title, duties and responsibilities:

  • What do/did you like most about the work?

  • What do/did you like least?

  • Reason(s) for leaving:


  • Company name:
  • Street:
  • City:
  • Province:

  • Telephone:
  • From (month/year):
  • To (month/year):

  • Salary: wk. mo. yr.
  • Starting: $ Final: $
  • Specify other compensation $ mo. yr.

  • Type of business:
  • Supervisor:

  • Title, duties and responsibilities:

  • What do/did you like most about the work?

  • What do/did you like least?

  • Reason(s) for leaving:


Signature

I certify that the answers given by me to the foregoing questions and statements are true and correct without consequential omissions of any kind whatsoever. I agree that the company shall not be liable in any respect if my employment is terminated because of the falsity of statements, answers or omissions made by me in this application. I authorize the companies, schools or persons named above to give any information regarding my employment, credentials or scholastic standing, together with any other information they may have. I understand that supplying false or misleading information is grounds for immediate dismissal.

  • Agree:Yes No
  • Date (day/month/year):