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NOTE TO APPLICANT:
All information is treated as strictly confidential and subject to investigation. This form must be fully filled in and will be used to evaluate your suitability for employment ALL QUESTIONS MUST BE ANSWERED FULLY
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Are you seeking?
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Employment not to extend beyond:
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Are you between the ages of 16 & 65
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Are you legally entitled to work in Canada?
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First Name
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Last Name
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Middle Name
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Street Address
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City/Town
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Major Intersections
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Postal Code
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Email Address
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Home Telephone Number
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Business Telephone
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Place of residence for the past (10) years excluding present address
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Address - Street / Apt No.
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City
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Prov/State/Country
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From
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To
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Do you own a motor vehicle?
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Do you have regular use of a motor vehicle?
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Do you have a valid driver’s license?
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If Yes... list class(es)
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If you are applying for full time employment, can and will you work full rotating (any time day and night) shifts and Weekends?
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If no, give reason
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If you are applying for a part time position, list which days and times you will be available to work:
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If you are applying for a part time position, can and will you commit to working assigned shifts every week?
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Can and will you work at any location in the Greater Toronto Area?
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How did you hear of us?
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Specify
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If you are presently employed, why do you wish to leave?
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EMPLOYMENT RECORD
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LIST YOUR EMPLOYMENT HISTORY STARTING WITH YOUR CURRENT/MOST RECENT EMPLOYMENT
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Employer’s Name
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Start Date
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End Date
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Address
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Type of Business
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Telephone Number
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Position Held
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Final Salary
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Supervisor’s Name
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Reason for Leaving
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Briefly Describe Your Responsibilities
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Employer’s Name
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Start Date
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End Date
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Address
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Type of Business
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Telephone Number
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Position Held
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Final Salary
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Supervisor’s Name
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Reason for Leaving
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Briefly Describe Your Responsibilities
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Employer’s Name
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Start Date
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End Date
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Address
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Type of Business
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Telephone Number
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Position Held
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Final Salary
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Supervisor’s Name
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Reason for Leaving
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Briefly Describe Your Responsibilities
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Employer’s Name
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Start Date
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End Date
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Address
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Type of Business
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Telephone Number
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Position Held
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Final Salary
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Supervisor’s Name
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Reason for Leaving
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Briefly Describe Your Responsibilities
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PERSONAL REFERENCES
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List two people, other than former/current employers, co-workers or family, to whom we may refer to in confidence.
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NAME
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ADDRESS
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OCCUPATION
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PHONE NUMBER
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YRS KNOWN
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In the event of an emergency, who is to be notified?
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Name
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Address
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City/Town
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Telephone
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Have you ever been employed by Reilly’s Security?
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IF yes, please list location, position and dates:
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Do you have or have you had any relatives in our employment?
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If yes, please give their names and their relationship to you.
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Minimum starting wage expected?
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PER |
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Date available to start work:
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Can and will you work overtime if required?
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Have you ever been convicted or found guilty of an offence under the laws of any country, province or state?
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If yes, list the details below:
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OFFENCE
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DATE
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PLACE
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POLICE DEPT.
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SENTENCE
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Is or has your driver’s licence been under suspension?
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