Employment Application

Application for Employment

Name: (Last, First, Middle)

P.O. Box:   Telephone No.:
Email: [email email* /35]

Street Address:

National Insurance No.:

Date of Birth:

Age:

MALEFEMALE

Height:

Weight:

Place of Birth:



Check One:
SingleMarriedWidowedSeparatedDivorced

Number of Dependents:

Children      Relatives     Others

Spouse’s Name:

Spouse’s Occupation:

Position desired:

Salary requested: $

In case of emergency, notify:
Name:

Address:

Telephone:

When are you available:

 

Do you have a valid driver’s license? YesNo

Do you own a car? YesNo

If yes, give:
Make:   Model:   Year:   Island:   Number:

Has your driver’s license ever been suspended? YesNo

If yes, why?

Have you any physical limitations that would affect your performance on the job? YesNo
If yes, explain:

Religion: CatholicAnglicanBaptistMethodistOther

EDUCATION:
High School -

QUALIFICATIONS:

Technical School -

College -

Other -

RECORD OF PREVIOUS EMPLOYMENT

From - To
Month/ Year

Total length of service

Name & address of employer

Type of work

Reason for leaving

Avg weekly earnings

Name:

Address:

Supervisor:



Name:

Address:

Supervisor:


Name:

Address:

Supervisor:


I UNDERSTAND AND AGREE THAT FOR THE FIRST 12 WEEKS OF EMPLOYMENT I WILL BE ON PROBATION. AT ANY TIME DURING THIS 12 WEEK PERIOD I CAN LEAVE THE EMPLOY OF THE COMPANY OR THE COMPANY CAN DISPENSE WITH MY SERVICES AND NO NOTICE OR PAYMENT IN LIEU OF NOTICE IS REQUIRED BY EITHER SIDE. IF I AM DISMISSED DURING THE 12 WEEK PROBATIONARY PERIOD, I WILL BE ENTITLED TO REMUNERATION ONLY FOR THE ACTUAL PERIOD WORKED.

Signature of applicant:

Date:


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