sign2.gif (3494 bytes) BLUE BEACON OF CANADA
Division of Canclean Services Ltd.

APPLICATION FOR EMPLOYMENT

Personal Information

Date: Social Insurance#:
Name: Birth Date:
Address: Phone:
Address:

Education

Indicate highest grade completed University or
College level

Work Experience

Currently Employed
Currently Unemployed

PRESENT OR LAST EMPLOYER

Name:
Address:
Address:
Phone: Your Position:
Employed From: To:
Rate of Pay: Supervisor's Name:
Reason for Leaving:

EMPLOYER PREVIOUS TO ABOVE

Name:
Address:
Address:
Phone: Your Position:
Employed From: To:
Rate of Pay: Supervisor's Name:
Reason for Leaving:
I HEREBY STATE THAT ALL OF THE INFORMATION ON THIS APPLICATION FORM IS ACCURATE AND TRUE.
Date: Electronic Signature:

BLUE BEACON APPLICANT FACT SHEET

Answer all the questions below.
(Mark all answers that apply.)

  • What shifts can you work?
    8 AM-4 PM

    4 PM-Midnight

    Midnight-8 AM
  • Which shifts do you prefer?
    8 AM-4 PM 4 PM-Midnight Midnight-8 AM
  • How many hours each week do you need to work to meet your financial obligations?
    10-20 hours? 21-39 hours 40 hours or more
  • How many hours per week do you want to work?
    10-20 hours? 21-39 hours 40 hours or more
  • Check the days you need off:
    Mon Tue Wed Thurs Fri Sat Sun
  • List other activities that you have such as school, reserve duty, sports, other jobs, etc.
  • If you were hired, how long would you work here?
  • Do you have a car or truck?
    YesNo
  • How will you get to work?
  • How far do you live from the Truck Wash?
  • How would we reach you if we needed to call you in to work?
    Do you live at this #?Yes
  • Do you know any of the employees who work here?Yes
    Please list them

 

Note: It is the policy of Blue Beacon to carefully review both items before we interview. It may be several days before we are ready to schedule interviews.

We will contact you directly if we decide to interview you.
Please do not call the Truck Wash about your application.

"I certify that the facts contained on this sheet are true and complete to the best of my knowledge. I also understand that, if employed, falsified statements on this sheet shall be grounds for dismissal."