TSUU T'INA NATION HUMAN
RESOURCES DEPT.
9911 Chiila Blvd, Tsuu T'ina, Alberta, T2W 6H6
Telephone: 403-238-6127, Fax: 403-238-6125
APPLICATION FOR EMPLOYMENT
(Please Print Clearly)
To Applicant: We appreciate your interest in our organization and assure you that we are sincerely, interested in your qualifications. A clear understanding of your background and work history will aid us in placing you in the position that best meets your qualifications and may assist us in possible future upgrading.
*All personal information collected will be kept confidential in accordance with relevant privacy legislation and will be used solely for the purpose described above.
POSITION APPLYING FOR:_________________________________
DATE AVAILABLE:______________________
LAST NAME:_______________________FIRST NAME:________________________
DATE OF BIRTH_____/_____/____d m y
ADDRESS:_________________________________________________________________________________________
_________________________________________________________________________________________
(include Street, City, Province, Postal Code)
Are you applying for: Full Time________ Part Time ________ Seasonal/Temporary _________
TELEPHONE: (Home) _______________________ (Work): _______________________ (Cell):_________________
VALID DRIVER'S LICENCE: o YES o NO GENDER: MALE o FEMALE o
PLEASE CHECK WHICH MAY APPLY TO YOU:
1. Status Indian_____ Métis____ Non-Status _____ BAND NAME: ________________________________
EMPLOYMENT HISTORY
Please list, beginning with the most recent, all present and past employment.
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COMPANY NAME, ADDRESS & PHONE |
DATE |
JOB TITLE & DESCRIPTION |
REASON FOR LEAVING |
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**Please note: all past employers will be contacted to verify employment.
RECORD OF EDUCATION/TRAINING
List secondary and post-secondary including course of study and degree or diploma received (highest level achieved first)
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NAME & ADDRESS OF SCHOOL |
COURSE OF STUDY |
LAST YEAR COMPLETED
or Diploma Received |
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List other training or courses you feel would be relevant to this application. |
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NAME & ADDRESS OF SCHOOL |
COURSE OF STUDY |
CERTIFICATE |
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PERSONAL REFERENCES
Please provide three reference contacts other than family members
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NAME & OCCUPATION |
ADDRESS |
PHONE NUMBER |
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In your own words, please indicate why you have applied for this position and include any other skills you feel would apply to this position.
____________________________________________________________________________________________________
____________________________________________________________________________________________________
I certify that all the information provided in this application is accurate and complete to be best of my knowledge. I understand that, false statements on this application shall be considered sufficient cause for removal of my application for the job in which I applied. I also authorize the employers, schools, organizations, or persons named above to provide information regarding my employment, education, character, and qualifications.
Signature
of Applicant:_______________________________________________________________________
Date
of Application:_____________________________________________________________________
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