Kenora: Employment Application

The Human Rights Codes prohibits discrimination in employment because of race, ancestry, place of origin, colour, national or ethnic origin, citizenship, religion, creed, sex or sexual orientation, age, marital or family status, criminal convictions of an offence for which a pardon has been granted and not revoked, convictions of an offence in respect of any provincial enactment, handicap or the use of any means to palliate a handicap, physical or mental disability, social condition, political convictions, pregnancy, civil status, language (Province of Quebec).
Personal
Name*
First Last
Phone*
Email*
Present Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Job(s) applying for*
Are you Available to Work:*
- Full-time
- Part-time
- Casual
- Temporary
Record of Education
Highest level of education completed:*
- High School
- University/College
Diploma/Degree*
Describe course of study.
Describe any honours received.
Describe any specialized training.
What experiences, skills or qualifications, do you feel, would assist you for work with the organization?
Work Experience

Work Experience

Start with your present job. Include volunteer activities. State all employment in past 5 years.

Name of Employer	Address	Phone	Employed From	Employed To	Rate of Pay Start	Rate of Pay Finish	Supervisor	Position Held / Job Title	Reason for Leaving	Job Description	May we contact your previous Employer?

Personal References
Give the names of at least 3 persons that you authorize to give information PERTINENT TO YOUR JOB PERFORMANCE, other than former employers or relatives.
Name and Occupation Address Telephone Number
Captcha

Employment Application