Foley Restoration: Employment Application

Foley Restoration

An Equal Opportunity Employer

Foley Restoration is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by provincial or federal law. Applicants requiring reasonable accommodation in the application and/or interview process should notify a representative of the organization.

Application for the position of:
Are you applying for:	Regular Full time Regular Part time Temperory (eg summer/holiday) Evenings/Weekends
Date available for employment:
Expected Salary:	$
If applying for temperory work, what is the last day you are available?

First Name
Last Name
Address
City
Province
Postal Code
Home Phone
Cell Phone
Email

Personal Information

Are you eligible to be employed in Canada?	Yes No
Do you have a valid driver’s license?	Yes No
Do you have any friends, family or acquaintances employed by Foley Restoration?	Yes No if yes, please specify:
Have you ever applied to or worked for Foley Restoration in the past?	Yes No If yes, please explain (include dates):
What days and hours are you available for work?
Additional language skills to English would be considered an asset to more effectively provide service to our customers. Please indicate your language skills and abilities to read, write or speak.	Read: Write: Speak:
How did you hear about Foley Restoration?	Family Friends NewsPaper Employee Website
1. Can you work on call (24 hours/day, 7 days/week, rotation basis)?	Yes No
2. Are you available to work weekends?	Yes No
3. Are you available to work evenings?	Yes No
4. Are you available to work overtime?	Yes No
5. If hired, do you have transportation to and from work?	Yes No
6. Are you willing to travel, if required as part of the position you are applying for?	Yes No
Are you willing to consent to the following background inquiries with connection to your application for employment? - Police clearance, employment references, driver’s abstract	Yes No
Have you ever been convicted of a criminal offence for which a pardon has not been granted?	Yes No

EDUCATION

SECONDARY SCHOOL	Business/TRADE/TECHNICAL SCHOOL
Institution Name: Highest grade or level completed: Type of certificate:	Institution Name: Name of Course: Length of Course: License, Certificate of Diploma awarded? Yes No
COMMUNITY COLLEGE	UNIVERSITY
Institution Name: Name of Program: Length of Program: Diploma received? Yes No Major Subject: Other courses, workshops, seminars:	Institution Name: Name of Program: Length of Program: Degree awarded? Yes No Major Subject: Other courses, workshops, seminars:

EMPLOYMENT HISTORY

Name of Business:
May we contact this employer for a reference?	Yes No
Address
Contact Information
Name and title of immediate superior
Your duties and responsibilities	(if these changed significantly within the same Business, record as separate employment)
This position was held from
Reason for leaving

Name of Business:
May we contact this employer for a reference?	Yes No
Address
Contact Information
Name and title of immediate superior
Your duties and responsibilities	(if these changed significantly within the same Business, record as separate employment)
This position was held from
Reason for leaving

Name of Business:
May we contact this employer for a reference?	Yes No
Address
Contact Information
Name and title of immediate superior
Your duties and responsibilities	(if these changed significantly within the same Business, record as separate employment)
This position was held from
Reason for leaving

REFERENCES

If you have any other references than those above, please list them here.

Name
Telephone / Email
Relationship to you

Name
Telephone / Email
Relationship to you

GENERAL INFORMATION

Do you feel there is any more information we need to thoroughly assess your application? If yes, please add it here. (include personal involvement in activities, but do not list any clubs or organizations of a national, religious or racial nature)

I agree that any misrepresentations by me on this application, or on any other employer documents completed after my hiring, will constitute cause for refusing to employ me or may result in my dismissal. I consent to the company making its usual inquiries about my work experience through my former employment, which may include credit reports and communications with previous employers.