MCF HOUSING FOR SENIORS
EMPLOYMENT APPLICATION
Date:
Position applied for:
Name of Applicant
First
Middle
Last
Home Address:
Postal Code
Home Phone:
Cell Phone:
E-Mail:
Are you legally eligible to work in Canada?
Yes
No
If on work permit:
Are you legally eligible to work for any employer?
Yes
No
When does your current work permit expire?
Date
Do you have criminal record for which you have not received a pardon?
Yes
No
Have you worked for MCF before?
Yes
No
If yes, when and where?
Do you have any relatives/friends employed by MCF?
Yes
No
If yes, what's their name & relationship to you?
Are you capable of performing physcial job duties which require lifting up to 25lbs?
Yes
No
Are you able to repeatedly perform duties that require lifting/bending/stretching?
Yes
No
Do you have access to reliable transportation?
Yes
No
Would you prefer to work full-time or Part-time?
Full-time
Part-time
What hours are you available to work (please complete chart below)?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
From
To
If your application is considered favorably, when are you available to start?
Education
SCHOOL
COURSE OF STUDY
(List Major Studies)
NUMBER OF YEARS COMPLETED
DEGREE OR DIPLOMA OBTAINED
High School
University
Other Institution
List any additional education or training you would like us to be aware of:
EMPLOYMENT HISTORY
** Include a current resume with application form (no need to fill out this chart)
If no resume, available, please fill out the following chart:
COMPANY NAME & ADDRESS
POSITION HELD
FROM
TO
SUPERVISOR'S NAME
REASON FOR LEAVING
May we contact your current employer for a reference?
Yes
No
Do you have any other experience or skills, which would qualify you for work with MCF?
***
Note:
I understand that any offer of employment may be made contingent upon a satisfactory
JOB RELATED MEDICAL
I declare that the statements made by me in this application form are true and complete. I understand and agree that a false statement may disqualify me from employment, or result in dismissal.
MCF Housing for Seniors Calgary, AB
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