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Contact Information
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Please enter your full name.
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Please enter your home address.
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Please enter the phone number you are most contactable by.
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If you have a secondary phone number please enter it here.
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Please enter your email address.
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Background Information
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If you have been convicted of a criminal offence please select 'Yes' otherwise select 'No'.
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If you are legally eligible to work in Canada please select 'Yes' otherwise select 'No'.
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Availability
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What date are you available to start working?
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Check all the boxes to select your availability.
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Please enter the date range for which you can provide temporary assistance. eg. 21/01/11 to 21/02/11.
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Please enter the date range for which you will be available for Summer Employment. eg. 21/06/11 to 21/08/11.
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Education
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Please select the highest level of education you have completed.
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If you have completed any post secondary education please enter the area(s) of study.
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If you have completed any post secondary education please enter the name & location of the school you attended.
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Please list any additional courses, workshops or seminars you have completed.
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Please list additional skills, interests, hobbies, special qualifications or other experiences which you feel are relevant for the position(s) for which you are applying.
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Work Experience
Please provide your three (3) most recent work experiences. This can include volunteer work & student placements.
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Current Place of Work
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Please enter the name & address of your current place of work.
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Please enter your job title.
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Please enter the day you began working for your currently employer.
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Please enter your current salary.
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Please enter the name of your current supervisor/manager.
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Please enter a contact number for your current supervisor/manager.
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Please select the type of work for your current employment.
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Please list your primary duties/responsibilities for your current employment.
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Previous Place of Work
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Please enter the name & address of your previous place of work.
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Please enter your previous job title.
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Please enter the date range for which you were previously employed. eg. June 2008 to May 2010.
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Please enter your previous salary.
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Please enter the name of your previous supervisor/manager.
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Please enter a contact number for your previous supervisor/manager.
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Please select the type of work for your previous employment.
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Please list your primary duties/responsibilities for your previous employment.
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Previous Place of Work
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Please enter the name & address of your previous place of work.
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Please enter your previous job title.
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Please enter the date range for which you were previously employed. eg. June 2008 to May 2010.
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Please enter your previous salary.
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Please enter the name of your previous supervisor/manager.
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Please enter a contact number for your previous supervisor/manager.
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Please select the type of work for your previous employment.
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Please list your primary duties/responsibilities for your previous employment.
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References
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Please tick the box(es) to indicate 'Yes'.
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Please attach your resume.
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Agreement
I hereby certify that the information given on my resume and this application is true in every respect, and I acknowledge that any false statements, misrepresentation or omission of facts may be cause for the discontinuation of the hiring process, or action up to and including dismissal as an employee.
I understand and acknowledge that any offer of employment arising from this application shall be subject to a medical examination and police check satisfactory to The Safehaven Project for Community Living.
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Please print your name in capital letters certifying that you agree to the statement above.
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Please select today's date acknowledging that you agree to the statement above.
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