Application

 Form
AVL   Construction   Group   Inc.   considers   all   applications   without   prejudice   as   to   race,   colour,   nationality,  
religion,  gender,  sexual  orientation,  marital  status,  disability  or  other  conditions  protected  by  the  Charter  
of  Rights  and  Freedoms.  
 
Personal  Data  
Last  name   First  name   Middle  name  

Present  address  

City   Province   Postal  Code  

Home  telephone   Business  telephone   Are  you  currently  employed?  

                                                               

Are  you  legally  entitled  to  work  in  Canada?   Have  you  worked  in  our  business  before?  

If  so,  when?  

If  hired,  when  can  you  start  work?   Do  you  have  a  reliable  means  of  transportation  to  get  to  work?  

Have  you  ever  been  convicted  of  a  criminal  offence  for  which  a  pardon  has  not  been  granted?   ❏  Yes                  ❏  No  
Are  you  18  years  of  age  or  older?   Do  you  want  to  work  :  

❏  Full-­‐time                            ❏  Part-­‐time                        ❏  Temporary  

What  type  of  work  are  you  interested  in  doing?  

 
Education  
(Education  levels  achieved  and  degrees  obtained  are  subject  to  verification  if  an  offer  of  employment  is  extended.)  
  College  or   Graduate  or  
Elementary  School   Secondary  School  
University   Professional  
Year  last  attended          

Completed  level   4   5   6   7   8   9   10   11   12   13   1   2   3   4   5   1   2   3   4   5  
Certificates,  Diplomas,  Degrees  obtained        

Course  of  Study        

List  any  specialized  training,  apprenticeship,  awards,        

professional  designations,  and  other  education  

 
   
    
 
 
Work  History  
(List  in  order  starting  with  your  present  or  last  job)  
Present  or  last  employer   Address  

Type  of  business  

Your  job  title   From  (month/year)   To  (month/year)  

Period  employed:  

Name  and  title  of  immediate  supervisor   Reason  for  leaving  

Describe  job  duties  and  responsibilities  

 
Present  or  last  employer   Address  

Type  of  business  

Your  job  title   From  (month/year)   To  (month/year)  

Period  employed:  

Name  and  title  of  immediate  supervisor   Reason  for  leaving  

Describe  job  duties  and  responsibilities  

 
Present  or  last  employer   Address  

Type  of  business  

Your  job  title   From  (month/year)   To  (month/year)  

Period  employed:  

Name  and  title  of  immediate  supervisor   Reason  for  leaving  

Describe  job  duties  and  responsibilities  

 
May  we  contact  your  present  or  last   May  we  contact  your  previous  
employer  for  reference?  
❏  Yes                  ❏  No   employers  for  reference?  
❏  Yes                  ❏  No  
 
Please  read  carefully:  
The   statements   found   in   this   application   are   true.   I   understand   that   any   misrepresentation   of   information   may   disqualify   me   from  
employment  or  be  the  cause  of  my  dismissal.  If  I  am  hired  for  the  position,  I  accept  to  abide  by  the  policies  and  procedures  of  the  
business  as  well  as  the  rules  and  regulations.  I  accept,  as  well,  a  probationary  period  of  (30)  days,  at  which  time  the  employer  may  
terminate  my  employment,  without  any  legal  recourse  on  my  part.  
 
 
 
Applicant  Signature:  _____________________________________     Date:  ____________________________________    

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