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Concordia Hospital Application and Interview Form - 1-2

The document is a job application form for Concordia Hospital. It requests applicant details like name, address, contact information, as well as passport number, age, marital status and sex. It also asks for references, expected salary, availability date and alternative contacts. The applicant must sign to agree that the information is true and authorize Concordia Hospital to investigate their background. The completed form will be accepted by a Concordia Hospital representative.

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0% found this document useful (0 votes)
636 views2 pages

Concordia Hospital Application and Interview Form - 1-2

The document is a job application form for Concordia Hospital. It requests applicant details like name, address, contact information, as well as passport number, age, marital status and sex. It also asks for references, expected salary, availability date and alternative contacts. The applicant must sign to agree that the information is true and authorize Concordia Hospital to investigate their background. The completed form will be accepted by a Concordia Hospital representative.

Uploaded by

pr7807748
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Concordia Hospital

1095 Concordia Avenue, Winnipeg, Manitoba


R2K 3S8 Canada.
TEL/FAX: +1 (289) 470-1468
[email protected]

APPLICATION FORM
Dear Applicant: We deeply appreciate your interest in our company and assure you that we are sincerely interested in your qualification.
Concordia Hospital requires innovation and creativity that are the result of hiring and motivating diverse employees with a wide
range of talents. A clear understanding of your personal and professional background, your work history and experiences will aid us in
considering you for positions that best meet your qualifications.

Applicant’s Details

Name :

PLACE YOUR
Address :
PHOTO

HERE

E-Mail :

Contact : (H) (O) (H/P)

Request Details

I wish to apply to your company a position as:

The type of work I am looking for: (Permanent / Contract)

Applicant’s Details

Passport Number : Nationality :

Age : Marital Status :

Sex :

© 2023 Concordia Hospital.


Concordia Hospital
1095 Concordia Avenue, Winnipeg, Manitoba
R2K 3S8 Canada.
TEL/FAX: +1 (289) 470-1468
[email protected]

References

Name Address Occupation/Position Phone No.

Expected Salary:

Date available for employment:

In case of contact unavailability, please state alternative person:

Person Name: _Contact No:

Person Name: _Contact No:

AGREEMENT
I certify that the information on this application is true, complete and correct. I authorize Concordia Hospital
to investigate my past employment, education and relevant activities and I release from all liability all persons, companies
and corporation supplying such information.

Applied by:

Signature: Name: Date:

The completed job application form is accepted by:

Signature: Name: Date:

© 2023 Concordia Hospital.

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