KEI (Kuntz Electroplating Inc.)

Career Application

* Indicates required

Personal Data

Last Name*

Street Address*

City*

Postal Code*

Home Phone*

Position you are applying for*

Are you legally eligible to work in Canada?
 Yes No

If you have been convicted of a criminal offence, are you currently on probation?
 Yes No

 

First Name*

Apartment Number

Province*

Your Email*

Work Phone

 
 

Have you ever been convicted of a criminal offence
for which you have not received a pardon?
 Yes No


Education/Skills

Secondary School

Highest Grade or Level Completed*

Comments*

Business or Trade School

Name of Course

Length of Course

Comments

License, certificate, or diploma awarded?
 Yes No

Community College or University

Name of Course

Length of Course

Comments

License, certificate, or diploma awarded?
 Yes No

Other Education/Related Skills

Other courses, workshops or seminars

Describe any other work-related skills, experience or training that might relate to the position being applied for


Employment History

Company Name*

Company Phone Number*

Last Weekly Salary*

From Date*

Describe the work you did*

May we contact this employer as a reference?*
 Yes No

 

Address*

Type of Business*

Name of Supervisor*

To Date* (MM/DD/YYYY)

Reason for Leaving*


Company Name

Company Phone Number

Last Weekly Salary

From Date

Describe the work you did

May we contact this employer as a reference?
 Yes No

Address

Type of Business

Name of Supervisor

To Date (MM/DD/YYYY)

Reason for Leaving


Company Name

Company Phone Number

Last Weekly Salary

From Date

Describe the work you did

May we contact this employer as a reference?
 Yes No

Address

Type of Business

Name of Supervisor

To Date (MM/DD/YYYY)

Reason for Leaving


Personal Interests

Please list any personal interests and activities(including volunteer work)


I confirm that the information is true and complete to my knowledge. I understand that a false statement may disqualify me from employment or cause my dismissal*.  Yes


Cover Letter Attachment

Resume Attachment

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