Application for Employment

Application for Employment

We consider applicants without regard to age, race, colour, creed or religion, ancestry, origin, sex, sexual orientation, marital status, family status, record of offenses, handicap, or other protected status.

Personal Info

First Name

Last Name

Address

City

State / Province / Region

ZIP / Postal Code

Country

Home Phone

Work Phone

Have you worked here before?

Yes

Are you currently employed?

Yes

If hired, when can you start work?

Are you legally eligible to work in Canada?

Yes

Have you ever been convicted of a criminal offence for which a pardon has not been granted?

Yes

Do you have a reliable means of transportation to get to work?

Yes

Do you want to work?

Full-Time

Part-Time

Temporary

What position are you applying for?

Education

Name of School

Diplomas, Degrees Obtained

Course of Study/Specialization

List Any Specialized Training, Professional Designations, and Other Education. If you have Social Work diploma/degree, please specify what your status with ACSW is.

Position Requirements (Please answer the questions below)

Police Information Check (within 6 months)

Yes

Child Intervention Check (within 6 months)

Yes

Valid Driver’s License

Yes

Valid Driver’s Abstract

Yes

Able to work weekends, evenings and holidays

Yes

Salary Expectations per year (please specify the amount)

Work History

Present or Last Employer

Address

City

State / Province / Region

ZIP / Postal Code

Country

Type of Business

Your Job Title

Start Date

End Date

Employment Type

Full-Time

Part-Time

Reason for leaving

Describe job duties and responsibilities

Your Resume

Please Read Carefully: In exchange for the consideration of my job application by MpowR, I agree that:

The acceptance of this application shall not serve to create an actual or implied contract of employment, or to confer any right to be or remain an employee of MpowR. The foregoing information is correct to the best of my knowledge. I understand that any misrepresentation shall disqualify me from employment or be cause for my dismissal. If hired, I agree to abide by all rules and regulations of MpowR. All personal information collected in the application form is confidential information, will be treated as such and safeguards put in place to protect the information. In addition, the information collected will only be used for the purpose it is collected.

Confirmation

I agree