APPLICATION FOR EMPLOYMENT

Please complete all sections of the application form as the information provided on this form will be
used as part of the selection process.
1. Any personal information supplied by you will be used for recruitment and staffing processes and
used in accordance with the federal Privacy Act.
2. We are an equal opportunity employer. No question is asked for the purpose of excluding any
applicant due to race, creed, color, national origin, age, sex, veteran status, disability, or any other class
of individuals protected by law.
3. To be eligible for employment, you must meet the following conditions:
- be authorized to work in Canada
- be 21 years of age or older

EMPLOYEE INFORMATION
Full Name:
Middle Initial:
City:

Address:
Postal Code:
Email:

Province:
Cell Phone:

Home Phone:

Hours available:
Indicate when you are available to be scheduled (specify a.m. or p.m.). Due to nature of our business,
the more available you are, the more opportunities we can consider you for.
Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

From
To

REFERENCES
Please give below the names and addresses of people to whom we may apply for information about
your work, experience and attendance record and indicate your relationship. One of them must be your
most recent or current employer (if previously employed). If you have just left school/college, you may
supply details of your Head Teacher/Principal.1
1

Most recent/current employer

Name:

Relationship:

Relationship:

Address:

Name:
Address:

Name:
Address:

ZIP:

ZIP:

ZIP:

Phone number:
Fax:

Phone number:
Fax:

Phone number:
Fax:

Email:

Email:

Email:

Can we contact?

Can we contact?

Can we contact?

Yes

Yes

Yes

No

Comtec Group Ltd

www.comtec-group.ca

No

No

INFORMATION TO THE APPLICANT

I certify that the above information (and any further information enclosed) is correct and I agree that the
Employer may take reasonable steps to verify this information (e.g. by obtaining proof of
qualifications). I agree to the Employer processing and retaining the personal information contained on
this form for any purposes connected with my application.

Signature of Applicant

Date

We are an equal employment opportunity employer. We adhere to a policy of making employment

decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship,
age or disability. We assure you that your opportunity for employment depends solely on your
qualifications.2

Comtec Group Ltd

www.comtec-group.ca