Full Name:
E-mail Address
Permanent Mailing Address:
Summer address (if different):
Province:
Province:
Postal Code:
Postal Code:
Phone:
Phone:
Travel: Do you have suitable transportation to & from work?
Yes
No
Referred by:
Have you visited Sanspit before?
Yes
No
When can you start?
When will you finish?
How many hours would you be willing to work each week?
Hrs/wk.
Education: Most recent Period of study (Dates):
To
Where:
What Level:
Subjects Studied:
Awards:
Please include any special Interests or training you have. include languages, first aid, etc.
Work Experience: Most recent work experience, if available.
Employer:
Supervisor:
Wages:
Reasons for leaving:
Job description and duties:
References:
Name:
Name:
Phone Number:
Phone Number:
Relationship:
Relationship:
Please provide any other information you would like considered:
