Name

Email Address

Company Name

Phone

Address of Project

City

Province

Postal Code

Have you ever been convicted of a criminal offense for which a pardon has not been granted? (Proof will be required) Have you ever been convicted of a criminal offense for which a pardon has not been granted? (Proof will be required) Yes No

Type of Drivers License – Abstract will be required if hired Type of Drivers License – Abstract will be required if hired A B D G1 G2 G M Z

Are you 18 years old or more? Are you 18 years old or more? Yes No

Are you legally eligible to work in Canada? Are you legally eligible to work in Canada? Yes No

Are you capable of working overtime? Are you capable of working overtime? Yes No

Are you able to work evenings or weekends? Are you able to work evenings or weekends? Yes No

Have you ever worked in Construction before? Have you ever worked in Construction before? Yes No

When and for who?

Current or Last Employer | Please include: dates, names, address, type of business, position, responsibilities, reason for leaving

Previous Employer | Please include: dates, names, address, type of business, position, responsibilities, reason for leaving

Previous Employer 2 | Please include: dates, names, address, type of business, position, responsibilities, reason for leaving