Personal Information

Name (required)

Home Phone (required)

Cell Phone (required)

Email (required)

Are you legally eligible to work in Canada (required)
 Yes No

Educational Background

High School

School Name

Length of Course

Graduated
 Yes No

Diploma, Degree, or License

Community College

School Name

Length of Course

Graduated
 Yes No

Diploma, Degree, or License

Trade Business/School

School Name

Length of Course

Graduated
 Yes No

Diploma, Degree, or License

University

School Name

Length of Course

Graduated
 Yes No

Diploma, Degree, or License

Employment Background

(List below all present and past employment, beginning with your most recent).

Employment 1

Company Name

Address

Phone

Start Date

End Date

Starting Salary

Last Salary

Reason for Leaving

Supervisor's Name

Type of Work You Did

Can we contact this employer?
 Yes No

Employment 2

Company Name

Address

Phone

Start Date

End Date

Starting Salary

Last Salary

Reason for Leaving

Supervisor's Name

Type of Work You Did

Can we contact this employer?
 Yes No

Employment 3

Company Name

Address

Phone

Start Date

End Date

Starting Salary

Last Salary

Reason for Leaving

Supervisor's Name

Type of Work You Did

Can we contact this employer?
 Yes No

References

Reference 1

Name

Address

Phone

Occupation

Years Known

Comments

Reference 2

Name

Address

Phone

Occupation

Years Known

Comments

Reference 3

Name

Address

Phone

Occupation

Years Known

Comments

General Information

Do you have reliable transportation to and from work?
 Yes No

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

Do you have any physical restrictions that would prevent you from completing the job as outlined to you?
 Yes No

Details

Describe any of your work related skills, experience or training that relate to the position being applied for.

Are you willing to work long hours with some weekend work?
 Yes No

This position requires that you lift 75 pounds repeatedly throughout the day.

Additional courses and training are offered to returning employees.

What interests you about Neighbourhood Landscaping Inc?

What do you hope to achieve at Neighbourhood Landscaping Inc? (include short/long term goals)

PLEASE READ THE FOLLOWING CAREFULLY
I declare my answers to the questions on this application are true and give Neighbourhood Landscaping Inc. the right to investigate all references and information given. I agree that any false statement or misrepresentation on this application may be cause for refusal to hire or for immediate dismissal. Do not answer any questions that may, in your opinion, infringe on your human rights. Neighbourhood Landscaping Inc is an equal opportunity employer, and always selects the best qualified individual for the job based upon job-related qualifications, regardless of race, colour, ethnic origin, creed, sex, handicap or other prohibited group of discrimination under provincial, federal or local Human Rights law.

Signature (Enter your full name to agree with the terms above.)

Date